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Low and no Medicare utilization cost reports

March 24, 2026
This defines what is required when filing a low or no utilization cost report.

Providers billing for drug Octagam HCPCS code J1568

April 28, 2026
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.

Reporting place of service (POS) codes

April 27, 2026
The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.

Modifier 77

March 27, 2026
View this article for instructions on how and when to use modifier 77.

Modifier 57 fact sheet

April 9, 2026
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 57.

Prolonged physician services: Office and other outpatient visits

March 3, 2026
Learn more about billing Medicare for prolonged office and other outpatient E/M services that exceed the maximum time by at least 15 minutes on the date of service.

Limitation on recoupment (935) process

May 13, 2026
This information outlines the process for the 935 recoupment.

Reject reason code for Part A claims returned to a provider more than three times

April 7, 2026
First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this reason code.

Drugs and biologicals

April 28, 2026
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related policy information, IOMs, and resources.

Physician supervision of diagnostic tests

February 25, 2026
The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act and payable under the physician fee schedule must be performed under the supervision of an individual meeting the…
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