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When not to show patient paid amounts on claims

April 6, 2026
First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article explains what may occur when indicating a patient payment amount on a claim and provides solutions when assignment is a…

Prolonged physician services: Home or residence visits

April 28, 2026
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.

Avoid negative impacts to your claims -- review billing and coding article A58918 molecular pathology and genetic testing

May 14, 2026
View this important information you must know if you bill for molecular pathology and genetic testing. This article was updated April 8.

Preventive services: Coverage determination

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

No Medicare policies identified

March 19, 2026
In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.

Checklist: Vascular stenting lower extremities and endovascular revascularization

April 30, 2026
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for vascular stenting lower extremities (CPT 37227) and endovascular revascularization (CPT 37229).

Medicare secondary payer (MSP) ongoing responsibility for medicals (ORM)

May 6, 2026
Read the below article for more information on MSP ongoing responsibility for medicals.

Beneficiary-submitted claim filing instructions

April 8, 2026
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.

Prompt payment interest rate revision

March 30, 2026
The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 4.625% is in effect January through July 2025.

Persons with Medicare

March 25, 2026
As a Medicare beneficiary, you are the most important person in the Medicare program. Although you will rarely need to file a claim, it is important for you to understand the Medicare claims process and the resources available to you as a M…
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