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Inpatient hospital entitlement changes

April 28, 2026
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original Medicare.

Fast facts: Education on CERT error

December 23, 2025
This article provides insights into the educational initiatives implemented following the assessment of a CERT error.

Diagnostic testing for sleep disorders

March 4, 2026
This is an article about diagnostic testing for sleep disorders.

E/M: Reviewing amount and/or complexity of data

December 23, 2025
For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA Levels of Medical Decision Making table indicates: "Each unique test, order, or document contributes to the comb…

Clinicians: Are you ordering urological supplies for your patients?

December 23, 2025
Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8).

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 & coding

February 26, 2026
Find the latest news pertaining to Medicare billing, coding, and general coverage changes.

Hepatitis B vaccination

December 23, 2025
Payment for the hepatitis B vaccine and its administration is only available to Medicare beneficiaries who are at high or intermediate risk of contracting hepatitis B, which includes patients who haven't previously gotten a completed hepati…

Part A outpatient infusion and hydration services

February 25, 2026
Read this article for important billing information for outpatient infusion and hydration services.

End stage renal disease (ESRD): Payment for phosphate binders effective January 1

December 23, 2025
Effective January 1, phosphate binders are paid as a renal dialysis service under Medicare Part B. Read this article to learn more.
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