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Clinical trials background

December 23, 2025
Medicare covers the routine costs of qualifying clinical trials, as such costs are defined in National Coverage Determination (NCD) 310.1, as well as reasonable and necessary items and services used to diagnose and treat complications arisi…

Submission of new drug information

December 23, 2025
First Coast accepts information regarding new drugs, new or revised indications, or marketing materials for forthcoming drugs or medical devices. Read this article to find out how to submit this information.

Clarification of Medicare bad debt policy / bad debt policy related to accounts at a collection agency

December 23, 2025
This article clarifies longstanding policy concerning reimbursement for a Medicare bad debt while the account is at a collection agency.

Provider Reimbursement Manual

December 23, 2025
View various sections of the Provider Reimbursement Manual applicable to audit and reimbursement.

Inpatient SNF services: Common denials and how to avoid them

December 23, 2025
First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for inpatient SNF services.

Limitation of recoupment process (Medicare Modernization Act [MMA] 935)

December 23, 2025
Read this article to learn more about the 935 recoupment process.

End-stage renal disease (ESRD) prospective payment system (PPS)

December 23, 2025
This is a brief overview of the ESRD PPS.

Contractor Advisory Committee (CAC) meeting fact sheet

December 23, 2025
The CAC is used to supplement the MAC’s internal expertise and to ensure an unbiased and contemporary consideration of “state of the art” technology and science. Please read this fact sheet for more details.

Open meeting fact sheet

December 23, 2025
The purpose of the open meeting is to allow interested parties the opportunity to make presentations of information and offer comments related to proposed local coverage determinations (LCDs) and/or the revised portion of a proposed LCD tha…

Inpatient prospective payment system (IPPS) for acute care hospitals

December 23, 2025
This gives you a brief overview of the inpatient prospective payment system for acute care hospitals
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