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Prior authorization program for certain hospital outpatient department services - claim submission guidelines

May 11, 2026
Claims submitted for a prior authorization request (PAR) that received a provisional affirmation PA decision, including any service that was part of a partially affirmed decision, must include the 14-byte unique tracking number (UTN) number…

Vein ablation and related services

March 25, 2026
Vein ablation and related services; some patients may want varicose vein treatment for cosmetic reasons. Medicare does not cover cosmetic surgery or expenses incurred in connection with such surgery.

New visitor center

February 25, 2026
Your online journey though Medicare starts here. This page is dedicated to helping new visitors find their way around the provider website.

First Coast eNews error

March 24, 2026
Joining First Coast eNews error.

First Coast’s live chat

April 30, 2026
Learn more about our live chat feature.

Modifier 25 tips

March 16, 2026
These tips are based on questions posed regarding whether to bill an evaluation and management visit on the same day as a procedure or other services with modifier 25.

Avoid negative impacts to your claims -- review LCD L39073 and billing and coding article A58812 pharmacogenomics testing

March 6, 2026
Important information you must know if you bill for pharmacogenomics testing.

Care management services

February 26, 2026
Care management services are covered under the Medicare program. View information regarding care management services, including links to related CMS resources and references.

Drugs and biologicals Part B: Using the JW and JZ modifiers

April 28, 2026
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers should be billed.

Marriage and family therapist (MFT)

April 21, 2026
Read about the requirements for becoming a marriage and family therapist with Medicare.
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