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Medicare & Veteran Affairs: Adjustments for duplicate claims

March 18, 2026
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA. This recovery effort is referred to as t…

5010 reject code lookup: Help guide

April 27, 2026
Learn how to use First Coast’s 5010 reject code lookup to resolve data-based issues with your 5010 claim files more quickly.

Claims & EDI

April 1, 2026

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.

Targeted probe and educate (TPE) round results: Evaluation and management services – initial and subsequent inpatient care visits

May 14, 2026
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.

Response to the severe storms, straight-line winds, and flooding in the state of Texas

March 13, 2026
CMS announces resources and flexibilities to assist with the public health emergency in the state of Texas.

MLN Connects Special Edition for October 21, 2025

April 28, 2026
This special edition includes information on lifting the current claims hold.

Overpayment request submission reminders

March 16, 2026
Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders for submitting overpayment requests to First Coast.

Independent diagnostic testing facility (IDTF) quick reference

April 6, 2026
IDTFs are required to report the exact CPT/HCPCS codes and procedures they intend to perform when enrolling with the CMS-855B form.

Hepatitis C virus (HCV)

April 6, 2026
Read this article for more information on the hepatitis C virus and treatments covered by Medicare.
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