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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.

Appeal tips: Documentation to include with your Part A redetermination request

May 4, 2026
Learn what documentation to include when submitting a Medicare Part A appeals request.

Helpful tips to expedite cost report tentative settlements – worksheet E-1, Part I

April 17, 2026
To expedite receiving tentative settlement payments, record provider payments and receivables correctly in Worksheet E-1 Part I.

MLN Connects Special Edition for October 21, 2025

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

Hepatitis C virus (HCV)

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

Fast facts: Valid CERT/CMS communications

May 4, 2026
Read this article for information about communication impacts from the CERT contractor.

Clerical reopening requests

May 1, 2026
Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.

Appeals status lookup tool: Part A help guide

April 15, 2026
This help document guides you through using the appeals status lookup tool on First Coast's Medicare provider website.

Tips to prevent reason code 326x4

March 17, 2026
Review this article if your claim is returning for reason code 326x4.
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