Part B

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Opting out of Medicare and current opt-out listing

As provided in §4507 of the Balanced Budget Act of 1997, a "private contract" is a contract between a Medicare beneficiary an eligible practitioner who has "opted out" of Medicare. Read this article…

How to change or add a practice mailing address

All changes of practice addresses are reported on the applicable CMS-855 form. Find out what form is right for you.

Requesting SPOT end user role

New end users may follow these instructions for SPOT access AFTER their organization has been created in IDM by the organization's approver.

Submit Part B financial documentation requests electronically

Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…

Indicating an anti-markup diagnostic service on a claim

Question and answer regarding the indication of an anti-markup diagnostic service on a claim.

Cardiac lithotripsy: A modern approach to coronary artery calcification

In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical evidence and expert perspectives on coronary intravascular lithotripsy (IVL…

Cardiac lithotripsy: A modern approach to coronary artery calcification

In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical evidence and expert perspectives on coronary intravascular lithotripsy (IVL…

The SPOT User Guide: Section 1 - Introduction

First Coast’s Secure Provider Online Tool (SPOT)

Modifier 27 fact sheet

Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a “separate and distinct E/M encounter” from the service previously provided…

Modifier 27 fact sheet

Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a “separate and distinct E/M encounter” from the service previously provided…