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MLN Connects for September 18, 2025

December 23, 2025
View this edition for information regarding critical access hospitals, prostate cancer screenings, and the October update of the DMEPOS fee schedule.

Unsolicited / voluntary refunds notification for calendar year (CY) 2025

December 23, 2025
View this notification regarding unsolicited / voluntary refunds.

New prior authorization code lookup tool now available

December 23, 2025
Use the new prior authorization code lookup tool to verify if the code is under a prior authorization program sponsored by CMS.

Instructions for completing the Direct Data Entry (DDE) User ID Request Access form

December 23, 2025
These instructions will assist you in completing the Direct Data Entry (DDE) User ID Request Access form.

Getting started with PC-ACE

December 23, 2025
PC-ACE software is designed for Medicare A and Medicare B claims entry and translation of acknowledgment and remittance files retrieved. Prior to applying, you should review the requirements, communications options, and available forms.

Targeted probe and educate (TPE) round results: Wound debridement

December 23, 2025
View TPE round results for wound debridement (CPT 11102-11103, 11200-11201, 11300-11303, 11305-11313 and 11401-11406, 11421-11424, 11426, 11440-11446).

Avoid negative impacts to your claims -- review billing and coding article A58918 molecular pathology and genetic testing

December 23, 2025
View this important information you must know if you bill for molecular pathology and genetic testing. This article was updated April 8.

MLN Connects for December 11, 2025

December 23, 2025
This edition includes information on the 2026 institutional provider enrollment application fee, the 2026 clinical laboratory fee schedule, the 2026 MPFS final rule summary, and more.

Medicare Participation Announcement for CY 2026: Decide by December 31

December 23, 2025
Please see this important announcement for CY 2026 regarding Medicare participation.

Approved network service vendor list

December 23, 2025
List of network service vendors that have an approved connection to the First Coast communication gateways.
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