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This edition includes information on crushing fraud, preventing E/M claim denials, a CMS listening session, and more.
CMS released a new version of Form CMS-460 (version 12/28). The former version (11/22) will no longer be accepted by the MACs after March 6, 2026. Read these instructions to complete the CMS-460 form.
MLN Connects for Thursday, August 14, 2025
Medical decision-making (MDM) is one of the key components used to determine the level of service for Evaluation and Management (E/M) coding. Since 2021, the American Medical Association (AMA) and CMS have emphasized MDM (or time) as the pr…
This edition includes information on critical access hospitals, seasonal flu vaccine pricing for 2025-2026, nursing home care compare updates, and more.
View this guide on how to use the Provider Enrollment Gateway.
Use these checklists to ensure you have met medical documentation requirements based on specific services.
Effective for dates of service on or after August 7, 2019, Medicare will pay claims from approved providers for administration of autologous T-cells expressing at least one CAR for the treatment for cancer. Article was last updated January…
First Coast provides a variety of CERT-related educational resources to assist providers with navigating CERT program requirements and achieving Medicare program compliance. Review our newest releases of the CERT Insider's Guide, Fast facts…
View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and mileage (HCPCS A0428 and A0425).