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Limitation on recoupment (935) process

May 13, 2026
This information outlines the process for the 935 recoupment.

Drugs and biologicals

April 28, 2026
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related policy information, IOMs, and resources.

Education spotlight

April 28, 2026

How to complete CMS-838 credit balance reports

May 4, 2026
First Coast is responsible to ensure compliance with the credit balance reporting process. The information provided below offers a brief explanation of how the CMS-838 credit balance reports should appear before either faxing to First Coast…

First Coast POE-AG charter – Florida, Puerto Rico, and the U.S. Virgin Islands Part A

May 5, 2026
This charter outlines the focus and scope of First Coast Service Options’ (First Coast) Part A Provider Outreach and Education Advisory Group (POE-AG). The charter also defines POE-AG membership requirements, roles, and responsibilities.

POE-AG membership list -- Florida and the U.S. Virgin Islands

May 6, 2026
Each year, First Coast invites members of the provider community to join the provider outreach and education advisory group for their geographic area. This document lists the members of Part A and Part B advisory groups for providers in Flo…

Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program

May 4, 2026
This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.

Multiple procedure payment reduction

May 5, 2026
Medicare applies a MPPR to the payment of select therapy services. The reduction applies to HCPCS codes contained on the list of “always therapy” services, regardless of the type of provider or supplier furnishing the services. Find out the…

Mammography coverage and certification of mammography facilities

May 5, 2026
Read this article for information on mammography coverage and certification of mammography facilities.

Medicare secondary payer (MSP) Contractor (formerly Benefits Coordination and Recovery Center [BCRC])

May 5, 2026
Read this article for more information on contacting the MSP Contractor.
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