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Proposed local coverage determination: Contractor advisory committee (CAC) meetings

June 5, 2026
Contractor advisory committee (CAC) meeting information and upcoming CAC meetings

Process for pathology, laboratory, and other codes

June 5, 2026
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific documentation with submission of these codes. P…

Process for CPT category III T codes

June 5, 2026
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.

MLN Matters articles: Fourth quarter 2023

June 8, 2026
This table of MLN Matters articles includes articles released by CMS from October through December.

Medical necessity requirements for skilled nursing facility (SNF) admissions

June 8, 2026
This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF admission. This criteria is required to meet Medicare guidelines for a SNF covered stay and medical necessity.

Durable medical equipment (DME)

June 8, 2026
Find the latest Medicare news identified specifically for providers of DME as well as helpful information, tools, and links to CMS resources pertaining to these specialties.

MLN Connects for August 15, 2024

June 8, 2026
This edition includes information on PrEP for HIV transition of coverage, ESRD revised guidance, telehealth services and billing for place of service 10, and more.

Reject reason codes

June 8, 2026
Use the links on this page to learn how to avoid common denials and claims rejections.

Approved cost report vendors

June 8, 2026
CMS has approved the following cost report software vendors for the electronic submission of yearly Medicare cost reports.

New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting

June 8, 2026
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1, 2025. This article details how to bill for…
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