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Medicare & Veteran Affairs: Adjustments for duplicate claims

March 18, 2026
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA. This recovery effort is referred to as t…

5010 reject code lookup: Help guide

April 27, 2026
Learn how to use First Coast’s 5010 reject code lookup to resolve data-based issues with your 5010 claim files more quickly.

Enrollment status tool: Help guide

February 27, 2026
Use this help guide for the enrollment application status tool. This versatile application allows you to check the status of your enrollment application in the Medicare program in three ways.

Claims & EDI

April 1, 2026

Appeals, Reopenings, & Overpayments

April 1, 2026
Find information regarding the appeals process, including reopenings, and overpayments. Learn how to appeal Medicare coverage and payment decisions and check status on existing appeals.

Targeted probe and educate (TPE) round results: Evaluation and management services – initial and subsequent inpatient care visits

May 14, 2026
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.

Billing & coding

February 26, 2026
Find the latest news pertaining to Medicare billing, coding, and general coverage changes.

E/M interactive worksheet: Help guide - prior to January 1, 2023

April 8, 2026
Learn how to take advantage of the features of our exclusive E/M interactive worksheet and find the code that best represents the level of evaluation and management services (E/M) furnished during a patient’s visit.

EDI companion and connectivity guides

March 23, 2026
View these helpful guides for tips on electronic transactions.

CERT A/B MAC Outreach & Education Task Force

April 27, 2026
The nation's leading MACs have joined together to create the CERT A/B MAC Outreach & Education Task Force. This unified educational initiative benefits providers as well as the Medicare program.
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