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Hospital CMS internet-only manuals (IOMs)

March 10, 2026
Information pertaining to Part A hospitals - Centers for Medicare & Medicaid Services (CMS) internet-only manuals (IOMs).

Assist us in developing LCDs

March 10, 2026
Join First Coast's Contractor Advisory Committee (CAC) to provide your input during the development process of LCDs.

PC-ACE training module: Entering a claim

March 10, 2026
The PC-ACE professional training module provides instructions necessary to set up and use the PC-ACE software.

A step-by-step guide to getting started submitting electronic claims for providers

March 10, 2026
The following information outlines procedures related to getting started along with additional electronic features available to EDI providers.

Process flowcharts for new LCD and LCD reconsideration requests

March 10, 2026
Flowcharts for new LCD and LCD reconsideration requests to provide step-by-step instructions of the processes.

‘Reasonable and necessary’ guidelines

February 24, 2026
View these guidelines regarding what it means for a service to be "reasonable and necessary."

A step-by-step guide to getting started submitting electronic claims for third party entities

March 10, 2026
The following information outlines procedures related to getting started with EDI along with additional electronic features available to billing services, clearinghouses, and third-party vendors.

Checklist: Chronic care management (CCM)

March 10, 2026
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for chronic care management (CCM) services.

Limited systems availability Friday, April 3 through Sunday, April 5

March 27, 2026
There will be Common Working File (CWF) "dark days" Friday, April 3, through Sunday, April 5, affecting the IVR.

Modifier 25 flowchart

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