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Electronic Billing Newsletter: Library index

May 1, 2026
View the most recent release of our Electronic Billing Newsletter. This newsletter is published quarterly and includes important EDI-related articles.

EDI system status and scheduled maintenance

May 11, 2026
Review this page for First Coast Medicare EDI system status information.

SPOT system status and scheduled maintenance

May 12, 2026
This page provides system status, regular maintenance times and any additional scheduled maintenance times.

Learn how to determine when Medicare is the primary or secondary payer

April 29, 2026
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers determine whether Medicare is the primary or secondary payer based upon specific situational criteria. The informat…

COVID-19 vaccine and monoclonal antibody billing for Part B providers

May 5, 2026
This article will assist Medicare Part B providers with proper billing relating to COVID-19 vaccine and monoclonal antibody infusion. Beneficiary coinsurance and deductible are waived.

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.

Intensive outpatient program (IOP) billing requirements for institutional services

May 6, 2026
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with substance use disorders. This article addresses institutional billing requirements for these new services.

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.

Providers billing for drug Octagam HCPCS code J1568

April 28, 2026
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.

Reporting place of service (POS) codes

April 27, 2026
The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.
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