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Checklist: Community mental health centers (CMHC) or partial hospitalization program (PHP)

May 4, 2026
This checklist is an aid to assist providers when responding to medical record documentation requests pertaining to community mental health centers (CMHC) or partial hospitalization program (PHP).

Checklist: Home health referrals

March 9, 2026
Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post-acute care facility justifying the referral. Use this checklist to gain an understanding of the criteria necessary…

Checklist: Vascular stenting lower extremities and endovascular revascularization

April 30, 2026
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for vascular stenting lower extremities (CPT 37227) and endovascular revascularization (CPT 37229).

Skilled nursing and therapy services to maintain function or prevent or slow decline: Reminder

May 4, 2026
The Jimmo Settlement Agreement clarifies Medicare’s longstanding policy coverage of skilled nursing and skilled therapy services. Please read this article and access the link within the article for more information.

Completing the revalidation process

March 9, 2026
At some point, all Medicare providers/suppliers will be asked to revalidate Medicare enrollment information. Have you been sent a revalidation request? Not sure where to start? Avoid deactivation of Medicare payments by following these step…

Skilled nursing facility (SNF) interrupted stay and lower level of care change (LLCC) billing

April 7, 2026
Read this article to learn more about billing a skilled nursing facility (SNF) interrupted stay and lower level of care.

Skilled nursing facility (SNF) leave of absence

May 4, 2026
Read this article to learn more about billing a skilled nursing facility (SNF) leave of absence claim.

Medicare secondary payer (MSP) ongoing responsibility for medicals (ORM)

May 6, 2026
Read the below article for more information on MSP ongoing responsibility for medicals.

About Us

February 25, 2026
First Coast has built a distinguished reputation as one of the nation’s largest and most trusted Medicare administrators for more than 50 years. First Coast is responsible for the provision of quality Medicare administrative services for ph…

MLN Connects for July 18, 2024

March 16, 2026
This edition includes information on dementia care, the skilled nursing facility value-based purchasing program, FY 2025 ICD-10-CM diagnosis codes, and more.
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