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Each year, First Coast invites members of the provider community to join the provider outreach and education advisory group for their geographic area. This document lists the members of Puerto Rico’s Part A and Part B advisory groups.
Chronic abnormal uterine bleeding (AUB) describes irregularities in the menstrual cycle involving frequency, regularity, duration, and volume of flow outside of pregnancy for at least six months. First Coast has determined that the use of a…
This edition includes information on 2026 premiums and deductibles, critical access hospitals, lung cancer, and more.
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2025.
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2026.
Read the December edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate calculation.
Read this article to learn more about the CERT support team.
This edition includes information on cognitive assessments for patients, preventing claim denials for manual wheelchairs, 2026 hospice payment update, and more.
View this information about outlier reconciliation criteria for IPPS and LTCH PPS hospitals and the latest CMS change request.
First Coast offers several online tools for you to diagnose why your Medicare claims were denied and resources to help you prevent future claims from such a fate. When a claim gets denied, with First Coast’s web tools you can solve many iss…