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Reporting the national drug code

June 5, 2026
Read this article for helpful information to report the national drug code on claims.

Durable medical equipment (DME)

June 8, 2026
Find the latest Medicare news identified specifically for providers of DME as well as helpful information, tools, and links to CMS resources pertaining to these specialties.

MLN Connects for August 15, 2024

June 8, 2026
This edition includes information on PrEP for HIV transition of coverage, ESRD revised guidance, telehealth services and billing for place of service 10, and more.

SPOT system status and scheduled maintenance

June 4, 2026
This page provides system status, regular maintenance times and any additional scheduled maintenance times.

MLN Connects for June 4, 2026

June 4, 2026
This edition includes information on Medicare Fraud Prevention Week, the Medicare GLP-1 bridge, July updates, and more.

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…

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…

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.
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