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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.

Pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent human immunodeficiency virus (HIV) infection

March 24, 2026
Read this article for information on billing PrEP for HIV drugs.

NCCI PTP lookup help guide

April 22, 2026
The NCCI was implemented to promote national correct coding methodologies and to control improper coding leading to inappropriate payment.

Modifier 25 flowchart

March 27, 2026
Use this decision flowchart to assist in correctly applying the 25 modifier.

Modifier 57 flowchart

March 27, 2026
Use this decision flowchart to assist in correctly applying the 57 modifier.

Modifier 59 flowchart

March 25, 2026

2026 Medicare Participation Physicians/Suppliers Directory now available

March 30, 2026
The MEDPARD is a comprehensive listing of participating providers and suppliers who have agreed to accept assignment on all Medicare covered services. Read this article for links to JN directories for Florida, Puerto Rico, and the US Virgin…

Understanding the prior authorization (PA) demonstration for ambulatory surgical center (ASC) services

March 19, 2026
This document was developed based on questions and answers posed during our webinars on the PA demonstration for ASC services.

Submit Part B financial documentation requests electronically

May 4, 2026
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options available for you to submit Part B financial…
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