Eligibility elimination from the IVR
The option to obtain patient eligibility information from the interactive voice response (IVR) system was eliminated on December...
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Update of the 2025 dollar amount in controversy required to sustain appeal rights for an Administrative Law Judge (ALJ) Hearing or Federal District Court Review
Section 1869(b)(1)(E) of the Social Security Act (the Act), as amended by Section 940 of the Medicare Prescription Drug...
PC-ACE user guide index
Detailed instructions to use the free PC-ACE software for billing Medicare claims electronically.
How to appeal a claim
First Coast offers multiple ways of appealing a claim denial. The most efficient way to do so is through First Coast’s portal...
2025 influenza, pneumococcal, and hepatitis B vaccine reimbursement
Read this article for information on vaccine fees for calendar year 2025.
POE-AG membership list -- Florida and the U.S. Virgin Islands
Each year, First Coast invites members of the provider community to join the provider outreach and education advisory group for...
Current processing issues for Part A and Part B
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
On-demand learning: Evaluation and management
View these recordings of past in-house webinars on all things related to evaluation and management, such as assessing needs...
Changes to amount in controversy (AIC) for appeals in 2026
The claims value in dispute must meet the threshold for obtaining an administrative law judge (ALJ) hearing and a judicial...