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Proposed local coverage determination: Contractor advisory committee (CAC) meetings

June 5, 2026
Contractor advisory committee (CAC) meeting information and upcoming CAC meetings

Process for pathology, laboratory, and other codes

June 5, 2026
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific documentation with submission of these codes. P…

Approved cost report vendors

June 8, 2026
CMS has approved the following cost report software vendors for the electronic submission of yearly Medicare cost reports.

New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting

June 8, 2026
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1, 2025. This article details how to bill for…

Electronic Funds Transfer (EFT) Payments and Change of Ownership (CHOW)

June 8, 2026
Read this article for information on EFT payments and changes of ownership.

Postoperative co-management -- modifiers 54 and 55

June 8, 2026
When physicians transfer the care of the patient during the global care period, the use of a modifier will be necessary to distinguish who is providing care for the patient. This article explains how to properly apply modifiers when these i…

How to complete the Medicare reconsideration request form (CMS-20033)

June 8, 2026
Find the appropriate forms to appeal claim decisions.

Medicare Navigator Notable Wall

June 8, 2026
Get bragging rights around the office by placing your name alongside others on our honorary Medicare Navigator Notable Wall by earning any of our digital badges.

Proper reporting of condition code G0

June 8, 2026
Hospitals should report condition code G0 (zero) on Part A claims when multiple medical evaluation and management (E/M) visits occur on the same day in the same revenue center, but the visits were distinct and independent visits.

Provider enrollment application fee: CY 2026

June 8, 2026
Review this information for details on the 2026 enrollment application fee.
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