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First Coast POE-AG charter – Florida, Puerto Rico, and the U.S. Virgin Islands Part A

May 5, 2026
This charter outlines the focus and scope of First Coast Service Options’ (First Coast) Part A Provider Outreach and Education Advisory Group (POE-AG). The charter also defines POE-AG membership requirements, roles, and responsibilities.

POE-AG meeting schedule

March 3, 2026
First Coast provider outreach and education advisory groups meet at least three times per year. Meetings may be held online (e.g., webinar) or as a face-to-face event. This schedule lists the meetings planned for Florida, the U.S. Virgin Is…

POE-AG membership list -- Florida and the U.S. Virgin Islands

May 6, 2026
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…

Introduction to Medicare

March 3, 2026
The Provider Outreach and Education team at First Coast welcomes you to Medicare. Providers are responsible for knowing and following the rules and regulations that apply to all services billed to Medicare under their provider number.

Billing for vein ablation services? Access our LCD guidelines

March 18, 2026
Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the category of vein ablation (codes 36475 and 36478) relating to endovenous radiofrequency ablation and laser treat…

Billing instructions for implanted prosthetic devices with HCPCS code C9899: Reason code 32354

March 18, 2026
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.

Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time

March 25, 2026
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.

Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program

May 4, 2026
This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.

Critical care services

April 9, 2026
CMS updated guidelines for critical care services effective January 1, 2022. These updates were implemented, and address billing and coding processes.

Split or shared E/M guidelines: Medicare Claims Processing Manual updates

March 30, 2026
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.
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