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Freedom of Information Act requests

December 23, 2025
FOIA (Freedom of Information Act) found in Title 5 of the United States Code, section 552, and enacted in 1966, provides that, upon request from any person, a federal agency or federal contractor must release any record unless that record f…

Updated evaluation and management center

December 23, 2025
First Coast has updated our E/M center to provide links and tools to assist.

Targeted probe and educate (TPE) round results: Surgical services - nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 & HCPC G0127)

December 23, 2025
View targeted probe and educate (TPE) round results for nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 & HCPC G0127).

Quarterly update to the Medicare Physician Fee Schedule (MPFS) - April 2025

December 23, 2025
These changes will be implemented April 7, effective for services January 1 and after.

MLN Connects Special Edition for November 3, 2025

December 23, 2025
View this special edition on recent CMS actions.

Core-based statistical areas for ASCs - Florida

December 23, 2025
Beginning in 2008, CMS adjusts ASC rates for geographic differences in wages using the geographic locality definitions initially established in 2003 by the Office of Management and Budget (OMB).

Proposed 2026 Medicare allowances for portable x-ray transportation codes

December 23, 2025
Reminder: The preliminary 2026 portable x-ray transportation payment rates have been posted for notice. The comment period is now closed.

Understanding repetitive scheduled non-emergent ambulance transports

December 23, 2025
Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.

E/M: Reviewing amount and/or complexity of data

December 23, 2025
For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA Levels of Medical Decision Making table indicates: "Each unique test, order, or document contributes to the comb…

Utilization of modifier 76: Repeat procedures

December 23, 2025
Modifier 76 used to report repeat procedure or service by same physician or other qualified health care professional the same day. Appropriate usage
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