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Proposed 2026 Medicare allowances for portable x-ray transportation codes

December 23, 2025
Reminder: The preliminary 2026 portable x-ray transportation payment rates have been posted for notice. The comment period is now closed.

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.

Appeals status lookup tool: Part B help guide

December 23, 2025
This help document guides you through using the appeals status lookup tool on First Coast's Medicare provider website.

Acute kidney injury

February 16, 2026
Read this article, which provides billing guidance for acute kidney injury.

Outlier reconciliation criteria for IPPS and LTCH PPS hospitals

December 23, 2025
View this information about outlier reconciliation criteria for IPPS and LTCH PPS hospitals and the latest CMS change request.

Update on Medicare Operations: Telehealth, Claims Processing, and Medicare Administrative Contractors Status During the Shutdown

December 23, 2025
View this notice from CMS regarding Medicare operations during the government shutdown.

Tips to prevent reason code 326x4

March 17, 2026
Review this article if your claim is returning for reason code 326x4.

Prior authorization (PA) demonstration for certain ambulatory surgical center (ASC) services

March 26, 2026
CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory Surgical Centers (ASCs) and will be implementing the demonstration in two phases.

Physical therapy plan of care requirements

December 23, 2025
When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the reasonable and necessary definition.

Fast facts: CERT administrative relief during a disaster

March 18, 2026
Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and suppliers during a disaster.
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