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Providers are encouraged to use the KX modifier on 837D claims submitted with dental services inextricably linked to covered medical services. Read this article to learn more.
When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or signature log within 20-calendar days.
These changes were implemented April 7, 2025, effective for services January 1, 2025, and after.
This edition includes information on the 2026 institutional provider enrollment application fee, the 2026 clinical laboratory fee schedule, the 2026 MPFS final rule summary, and more.
This edition includes information on extension of Medicare provisions, HCPCS codes and clinical laboratory improvement amendment edits, hospital price transparency, and more.
Here are additional educational resources identified specifically for rural health services.
Effective July 6, 2026, outpatient claims with type of bills (TOB) 13X or 14X will be returned to provider (RTP) for reason code 34554 if modifier ER, PO, or PN is billed on all service lines, and the practice location address is missing fr…
Read the Part A second quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT review process and ways to mitigate these errors in the future.
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 Puerto Rico’s Part A and Part B advisory groups.
Would you like to reduce the time you spend contacting Medicare? Having difficulties locating a claim? Here's some tips to help locate a claim not on file.