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Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

March 25, 2026
Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the billing instructions detailed within.

Appropriate use of assistant at surgery modifiers and payment indicators

March 25, 2026
Here is clarification on the appropriate use of modifiers to report assistant at surgery services and how payment is determined under the Medicare physician fee schedule (MPFS).

CMS-588 Electronic funds transfer (EFT)

March 6, 2026
Providers are required to sign up for electronic funds transfer (EFT) using a CMS-588 EFT form upon initial enrollment in the Medicare program or when changing banking information.

Reminder on mandatory Medicare claim submission requirements

April 6, 2026
Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.

Telehealth services

March 5, 2026
Telehealth services substitute for an in-person visits and involve two-way, interactive technology permitting communication between the practitioner and patient. Recent legislation authorized an extension of many of the Medicare telehealth…

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.

Modifier 25 fact sheet

March 10, 2026
Specific guidelines apply to the proper application and billing of modifier 25.

Prolonged physician services: Nursing facility E/M visits

February 25, 2026
Learn more about billing Medicare for prolonged nursing facility E/M services exceeding the maximum time by at least 15 minutes on the date of service.

When not to show patient paid amounts on claims

April 6, 2026
First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article explains what may occur when indicating a patient payment amount on a claim and provides solutions when assignment is a…

Important instructions for paper claim form CMS-1500 (version 02/12)

March 6, 2026
First Coast has noticed an increase in errors on the CMS-1500 (02/12) claim form. This article addresses important instructions regarding completion of the paper claim form.
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