How contractors may request assistance with overlapping claims
This document outlines instructions -- for Medicare administrative contractors -- regarding how to request assistance from First...
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Preventive services: Coverage determination
Find information on local and national coverage determinations specific to preventive services.
MLN Connects for June 26, 2025
This edition includes information on a Medicare fraud scheme alert, DMEPOS fee schedule updates, Medicare Diabetes Prevention...
5010 reject code lookup: Help guide
Learn how to use First Coast’s 5010 reject code lookup to resolve data-based issues with your 5010 claim files more quickly.
Submitting unsolicited paperwork (PWK) segments for electronic claims
The PWK (paperwork) segment of the X12N version 5010 allows for submission of supporting documentation with a version 5010 837...
2023 fee schedule updates for HCPCS 96380 and 96381 - Puerto Rico and U.S. Virgin Islands
View pricing for two new codes for administration of nirsevimab for RSV infection.
2024 payment rates for home infusion therapy (HIT)
Download this zipped file for the locality adjusted rates for home infusion therapy for 2024.
2023 anesthesia conversion factors for the U.S. Virgin Islands
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100...
2023 anesthesia conversion factors for Puerto Rico
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100...
MLN Connects for July 3, 2025
This edition includes information on a new model to target wasteful, inappropriate services in Original Medicare, CY 2026...