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Modifier 66 fact sheet

March 30, 2026
Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same patient during the same operative session. Billing modifier 66 requires documentation to support the claim.

Preventive services: Coverage determination

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

MLN Connects for February 28, 2025

March 31, 2026
Hospitals: Actions to Make Healthcare Prices Transparent

Common inquiries - Part A

March 30, 2026
Reduce the time it takes to answer your Medicare question by viewing common Part A inquiries received by customer service.

Billing modifier 79

March 30, 2026
Read this article for information about billing modifier 79.

The SPOT User Guide

April 2, 2026
This user guide is a reference material available to assist users on how to use First Coast's self-service online portal, the Secure Provider Online Tool (SPOT).

Targeted probe and educate (TPE) round results: Evaluation and management services - outpatient office visits

April 2, 2026
View TPE round results for evaluation and management services - outpatient office visits.

Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J7318-J7329, J7331-J7332)

April 2, 2026
View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).

SPOT features and functionality

April 2, 2026
A complete list of features currently available in SPOT with descriptions.

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.
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