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The purpose of the open meeting is to allow interested parties the opportunity to make presentations of information and offer comments related to proposed local coverage determinations (LCDs) and/or the revised portion of a proposed LCD tha…
Open meeting registration is currently not available. Registration will open approximately two weeks prior to the next meeting. Please watch here for meeting details and registration for the next meeting to be posted.
First Coast may consider coverage of a humanitarian use device, intended to benefit a small patient population, when the provider follows the specific guidelines and submits the appropriate documentation.
Summary for ambulance services (October 2020).
Summary for hyperbaric oxygen therapy (October 2020).
View this summary for outpatient rehabilitation services (August - November 2020 and August 2021).
Pricing has been updated for codes 93241, 93243, 93245, and 93247.
Here is a listing of the counties comprising each payment locality in Florida.
First Coast is able to accept Part B dental claims in the 837D electronic claims format. These files may be submitted by dental providers or billing services and clearinghouses after being enrolled for 837D and passing the 837D test file re…
First Coast has seen an increase in claims for drugs, hemophilia clotting factors, and skin substitutes that exceed the dollar amounts above $99,999.99. Effective for claims received on or after November 6, claims missing the required infor…