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Providers billing for drug Octagam HCPCS code J1568

April 28, 2026
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.

How to complete CMS-838 credit balance reports

May 4, 2026
First Coast is responsible to ensure compliance with the credit balance reporting process. The information provided below offers a brief explanation of how the CMS-838 credit balance reports should appear before either faxing to First Coast…

Hospice: New requirement for physicians who certify patient eligibility

April 28, 2026
Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7, 2024 and after with dates of service June 3, 2024 or later.

Ambulance modifiers

April 28, 2026
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.

Mammography coverage and certification of mammography facilities

May 5, 2026
Read this article for information on mammography coverage and certification of mammography facilities.

Drugs and biologicals Part B: Using the JW and JZ modifiers

April 28, 2026
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers should be billed.

Tips to prevent claim adjustment reason code (CARC) 54MUE

May 11, 2026
Read this article for tips on how to prevent claim adjustment reason code (CARC) 54MUE.

Tips to prevent claim adjustment reason code (CARC) CO 50/PR 50

May 13, 2026
To increase the number of claims that successfully process and enhance cash flow, we are providing you with the top reasons claims denied with tips and resources to help you avoid many of these errors.

Current processing issues

May 14, 2026
An update was made to a Part B issue reflecting pending claims are now finalized and payments started with the May 11 cycle.

Credit balance reporting

May 12, 2026
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
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