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Avoid claim processing delays when billing tetanus vaccinations

December 23, 2025
Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.

Sole owner revalidations

February 18, 2026
Read this article for information on an important change to the Provider Enrollment Revalidation process for sole owner groups.

Revalidation overview

February 18, 2026
Read this article for information on Medicare revalidation.

Develop and implement a compliance program

January 16, 2026
A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.

Commonly used provider enrollment terms and their definitions

February 13, 2026
View these commonly used enrollment terms.

Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays

April 21, 2026
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers RT, LT or 50, site levels, alternative c…

Request a new LCD or an LCD reconsideration electronically

March 6, 2026
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options available for you to request a new LCD or an…

Did you notify Medicare that your address changed? Don’t miss important notifications and ADRs

December 23, 2025
Review this article to learn how you can change the address to which additional documentation requests (ADRs} are mailed.

Mailing addresses for certain medical documentation requests have changed

April 14, 2026
To avoid delays, carefully review your additional documentation request (ADR) letter to ensure you’re sending medical documentation to the correct address.

Physician ordering laboratory tests: Your vital role in submitting documentation

December 23, 2025
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.
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