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Each year, First Coast invites members of the provider community to join the provider outreach and education advisory group for their geographic area. This document lists the members of Part A and Part B advisory groups for providers in Flo…
Learn about Medicare’s billing and payment guidelines for ambulance transports of multiple patients.
Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted and finalized.
Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions. There are two ways to view LCDs, either by viewing the list of all active LCDs and articles on the medical policy/…
In the fiscal year 2025 IPPS and LTCH final rule, CMS finalized a separate payment for establishing and maintaining access to essential Medicines. Read this article to learn more.
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options available for you to submit medical review d…
Use the links on the left to view the steps to become a Medicare provider. This section offers links to guide providers through the Medicare enrollment process.
View this special edition update on processing of Medicare claims impacted during the government shutdown as well as the 2026 ESRD PPS final rule.
Use these self-service tools and forms to appeal claim decisions.
FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and if not, what to do next.