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Immunization

May 5, 2026
Find information on vaccine payment allowances and fee schedules, links to related enrollment for mass immunizers, and more. Recent additions include upcoming vaccine administration coding updates beginning July 1, 2026, for TOFIDENCE® IV i…

Unsolicited / voluntary refunds

May 15, 2026
This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to an open account receivable.

2025 influenza, pneumococcal, and hepatitis B vaccine reimbursement

March 6, 2026
Read this article for information on vaccine fees for calendar year 2025.

Hepatitis C virus (HCV)

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

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

March 17, 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…

Pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent human immunodeficiency virus (HIV) infection

March 24, 2026
Read this article for information on billing PrEP for HIV drugs.

Process for CPT category III T codes

May 18, 2026
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.

Colorectal cancer (CRC) screening

May 26, 2026
Medicare Part B covers various colorectal cancer (CRC) screening tests furnished to individuals for the purpose of early detection of colon cancer. Learn more about these lifesaving preventive services.

First Coast supports Part B billing awareness during the month of June

May 26, 2026
The Medicare Navigator Program is back! Join our webinar series designed to help providers confidently navigate Medicare requirements and submit accurate, complete claims.
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