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2023 fee schedule updates for HCPCS 96380 and 96381 - Puerto Rico and U.S. Virgin Islands

December 23, 2025
View pricing for two new codes for administration of nirsevimab for RSV infection.

5010 reject code lookup: Help guide

December 23, 2025
Learn how to use First Coast’s 5010 reject code lookup to resolve data-based issues with your 5010 claim files more quickly.

Skilled nursing and therapy services to maintain function or prevent or slow decline: Reminder

December 23, 2025
The Jimmo Settlement Agreement clarifies Medicare’s longstanding policy coverage of skilled nursing and skilled therapy services. Please read this article and access the link within the article for more information.

Bill infectious disease panels correctly

December 23, 2025
First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about billing these services correctly.

Quarterly credit balance reports no longer required

December 23, 2025
Effective December 1, 2024, providers are no longer required to submit quarterly credit balance reports.

Medical decision making and the impact of prescription drug management

December 23, 2025
Medical decision-making (MDM) is one of the key components used to determine the level of service for Evaluation and Management (E/M) coding. Since 2021, the American Medical Association (AMA) and CMS have emphasized MDM (or time) as the pr…

Tips to prevent RTP 30912

December 23, 2025
Read this article for tips on how to prevent RTP 30912.

Part B service-specific review – clinical laboratory lipid panel (80061)

December 23, 2025
Summary for clinical laboratory lipid panel (June and July 2021).

Search help

December 23, 2025
The search tool utilized on the First Coast Medicare provider website allows you to customize your search so that you can find what you’re looking for quickly and easily.

2022 payment rates for opioid treatment program (OTP)

December 23, 2025
This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2022.
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