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Hepatitis C virus (HCV)

April 6, 2026
Read this article for more information on the hepatitis C virus and treatments covered by Medicare.

Billing for vein ablation services? Access our LCD guidelines

March 18, 2026
Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the category of vein ablation (codes 36475 and 36478) relating to endovenous radiofrequency ablation and laser treat…

Leqembi for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

March 25, 2026
Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and segment information detailed within. The NCT number has been added to the instructions.

Dental services coverage

March 12, 2026
If you’re a new or seasoned provider billing dental services to fee-for-service (FFS) Medicare, or original Medicare, this article guides you through recently clarified payment provisions for dental services in 2023, the provider enrollment…

Medicare & Veteran Affairs: Adjustments for duplicate claims

March 18, 2026
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA. This recovery effort is referred to as t…

Billing instructions for implanted prosthetic devices with HCPCS code C9899: Reason code 32354

March 18, 2026
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.

Reject reason code for Part A claims returned to a provider more than three times

April 7, 2026
First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this reason code.

Skilled nursing facility (SNF) interrupted stay and lower level of care change (LLCC) billing

April 7, 2026
Read this article to learn more about billing a skilled nursing facility (SNF) interrupted stay and lower level of care.
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