Medical necessity requirements for skilled nursing facility (SNF) admissions This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF... August 5, 2025
Medical review activities Service-specific reviews First Coast is tasked with preventing inappropriate Medicare payments. One of the ways this is conducted... July 23, 2025
Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time. September 23, 2025
Medicare & Veteran Affairs: Adjustments for duplicate claims CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate... Latest updates: Billing and coding March 18, 2026
Medicare Advantage (MA) supplemental wrap-around payments -- reason code 37098 Medicare Advantage (MA) supplemental wrap-around payments -- reason code 37098 for federally qualified Health centers (FQHCs)... August 20, 2025
Medicare Beneficiary Identifier - get it, use it There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is... December 13, 2024
Medicare common acronyms This list explains acronyms commonly used by the PARD (provider audit and review department). July 11, 2025
Medicare coverage of driveline kits for ventricular assist devices (VADs) Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding coverage... Latest updates January 14, 2026
Medicare deductible and coinsurance View annual deductibles and coinsurance for beneficiaries covered through the Medicare fee-for-service program. March 4, 2026
Medicare diabetes prevention program (MDPP) View all MDPP-related articles >> Billing and payment 2025 billing and payment fact sheet CY 2025 expanded model payment rates Payme... January 23, 2026
