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MLN Connects for April 2, 2026

April 2, 2026
This edition includes information on the new ASPIRE model to deliver support to children and youth with complex medical needs, preventing claim denials for therapeutic footwear, the reprocessing of certain claims from method II critical acc…

PC-ACE upgrade and installation instructions

April 6, 2026
PC-ACE version 7.0 is now available. Follow these instructions to complete the required quarterly upgrades or the full installation after initial enrollment.

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April 6, 2026
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New provider roadmap: Claims submission

April 6, 2026
Once enrolled as a Medicare provider, a billing method with Medicare needs to be established. Step 1: Choose your billing method

Hepatitis C virus (HCV)

April 6, 2026
Read this article for more information on the hepatitis C virus and treatments covered by Medicare.

Prevent errors on your OTP claims

April 6, 2026
Learn about the top errors First Coast has identified for Opioid Treatment Program (OTP) claims and how you can prevent the errors on your claims.

Prolonged physician services: Hospital inpatient or observation care services

March 18, 2026
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time by at least 15 minutes on the date of service.

Checklist: Musculoskeletal system and connective tissue or procedures

March 18, 2026
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for musculoskeletal system and connective tissue procedures (DRG 515, 516 and 517).

Checklist: Outpatient hospital services

March 18, 2026
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for outpatient hospital services.

Checklist: Hyperbaric oxygen (HBO) therapy documentation

March 18, 2026
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for hyperbaric oxygen (HBO) therapy services.
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