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Prior authorization program for certain hospital outpatient department services - claim submission guidelines

May 11, 2026
Claims submitted for a prior authorization request (PAR) that received a provisional affirmation PA decision, including any service that was part of a partially affirmed decision, must include the 14-byte unique tracking number (UTN) number…

Vein ablation and related services

March 25, 2026
Vein ablation and related services; some patients may want varicose vein treatment for cosmetic reasons. Medicare does not cover cosmetic surgery or expenses incurred in connection with such surgery.

First Coast eNews error

March 24, 2026
Joining First Coast eNews error.

First Coast’s live chat

April 30, 2026
Learn more about our live chat feature.

Modifier 25 tips

March 16, 2026
These tips are based on questions posed regarding whether to bill an evaluation and management visit on the same day as a procedure or other services with modifier 25.

Drugs and biologicals Part B: Using the JW and JZ modifiers

April 28, 2026
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers should be billed.

Marriage and family therapist (MFT)

April 21, 2026
Read about the requirements for becoming a marriage and family therapist with Medicare.

Checklist: Annual wellness visit (AWV)

March 11, 2026
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for AWV. Health care providers retain responsibility to submit complete and accurate documentation.

Submission of EDI enrollment forms

April 17, 2026
EDI enrollment forms may be submitted via email or fax.

IDM: SPOT access/password help and access issues

March 12, 2026
Where to find help needed to access SPOT, including instructions if you forget your user ID or password and how to reset your password.
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