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Reporting manifestation diagnosis codes

April 28, 2026
The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article to find out more about the editing.

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…

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.

Hospital off-campus outpatient department reporting requirements

May 20, 2026
Effective July 6, 2026, outpatient claims with type of bills (TOB) 13X or 14X will be returned to provider (RTP) for reason code 34554 if modifier ER, PO, or PN is billed on all service lines, and the practice location address is missing fr…

Hepatitis C virus (HCV)

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

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.

Interim billing guidelines for inpatient acute-care PPS hospitals, inpatient rehabilitation facilities (IRFs), long-term care hospitals (LTCHs) and inpatient psychiatric facilities (IPFs)

May 14, 2026
Review these interim billing guidelines.

Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims

May 29, 2026
The ASC device codes list has been updated.

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.
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