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Reminder on mandatory Medicare claim submission requirements

April 6, 2026
Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.

Telehealth services

March 5, 2026
Telehealth services substitute for an in-person visits and involve two-way, interactive technology permitting communication between the practitioner and patient. Recent legislation authorized an extension of many of the Medicare telehealth…

Prolonged physician services: Hospital inpatient or observation care services

March 18, 2026
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time by at least 15 minutes on the date of service.

Modifier 25 fact sheet

March 10, 2026
Specific guidelines apply to the proper application and billing of modifier 25.

When not to show patient paid amounts on claims

April 6, 2026
First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article explains what may occur when indicating a patient payment amount on a claim and provides solutions when assignment is a…

Important instructions for paper claim form CMS-1500 (version 02/12)

March 6, 2026
First Coast has noticed an increase in errors on the CMS-1500 (02/12) claim form. This article addresses important instructions regarding completion of the paper claim form.

Guidelines for billing acute inpatient noncovered days

March 3, 2026
This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.

Prolonged physician services: Home or residence visits

April 28, 2026
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.

Avoid negative impacts to your claims -- review billing and coding article A58918 molecular pathology and genetic testing

May 14, 2026
View this important information you must know if you bill for molecular pathology and genetic testing. This article was updated April 8.

Preventive services: Coverage determination

March 30, 2026
Find information on local and national coverage determinations specific to preventive services.
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