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Good cause for extension of the time limit for filing appeals

December 23, 2025
The time limit for filing a request for redetermination may be extended in certain situations. Good cause may be found when the record clearly shows, or the provider, physician or other supplier alleges and the record does not negate, that…

Educational events calendar

February 25, 2026

MLN Connects for September 4, 2025

December 23, 2025
This edition includes information on complying with proof of delivery requirements, National Correct Coding Initiative October update, complying with Medicare signature requirements, and more.

Approved network service vendor list

December 23, 2025
List of network service vendors that have an approved connection to the First Coast communication gateways.

NCCI PTP lookup help guide

April 22, 2026
The NCCI was implemented to promote national correct coding methodologies and to control improper coding leading to inappropriate payment.

Modifier 25 flowchart

March 27, 2026
Use this decision flowchart to assist in correctly applying the 25 modifier.

Modifier 57 flowchart

March 27, 2026
Use this decision flowchart to assist in correctly applying the 57 modifier.

Modifier 59 flowchart

March 25, 2026

Modifier 58 flowchart

March 17, 2026
Use this decision flowchart to assist in correctly applying the 58 modifier.

Modifier 78 flowchart

March 17, 2026
Use this decision flowchart to assist in correctly applying the 78 modifier.
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