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Inappropriate billing of anesthesia services for epidural steroid injections (ESI) and facet joint injections for pain management

February 24, 2026
The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for anesthesia administered during selected spinal pain management (SPM) procedures that were at risk for noncompliance wi…

Steps to prevent reject reason code 36428

February 24, 2026
Steps to prevent rejection when submitting a claim for mammography screening services.

Drugs and biologicals: Self-administered drug exclusions

February 24, 2026
Self-administered drugs 

Clinical laboratory

February 24, 2026
Information for clinical laboratory providers and suppliers, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other resources.

Occupational therapist (OT) in private practice

February 24, 2026
View requirements for enrolling as an occupational therapist with Medicare.

Maintaining the same ownership information across all enrollment records

February 24, 2026
Your ownership information should be the same across all enrollment records. Read this article for more information.

Proposed local coverage determination: Contractor advisory committee (CAC) meetings

February 24, 2026
Information for the upcoming CAC meetings for providers and interested stakeholders in Florida, Puerto Rico, and the U.S. Virgin Islands.

Humanitarian device exemption

February 24, 2026
First Coast may consider coverage of a humanitarian use device, intended to benefit a small patient population, when the provider follows the specific guidelines and submits the appropriate documentation.

Investigational device exemption (IDE) studies

February 24, 2026
Requirements for IDEs approved by CMS.

Retirement of LCDs and local coverage articles

February 24, 2026
View these reasons why First Coast may consider retiring LCDs and articles.
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