Latest Updates

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Screen Changes in Direct Data Entry

Effective October 1, screen changes in Direct Data Entry (DDE) have been made to the DRG/Pricer Inquiry (37) MAP1781.

First Coast Supports Part A Billing Awareness During the Month of September

Thanks for joining us! As the September Medicare Navigator Part A Billing Workshop Series wraps up, we hope you found value in these sessions. Missed one? Recordings will be available soon - stay…

Process for Supplying Invoice Amount on Certain HCPCS Codes - Avoid Rejected Claims

The drug codes list and the radiopharmaceutical codes list have been updated.

MLN Connects for October 1, 2026

This edition includes information on laboratory testing, laboratory NCD edit software update, and more.

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Current Processing Issues

Incorrect duplicate denials have occurred for chronic care management (CCM) and remote physiological management (RPM) services billed on the same date of service as an E/M visit. Incorrectly denied…

A/B MAC Collaborative DME Spinal Orthoses Webinar Coming December 8

You are invited to participate in our next A/B MAC DME spinal orthoses webinar on December 8. This is your opportunity to hear directly from the DME MAC Contractor regarding Medicare’s spinal…

A/B MAC Collaborative DME Spinal Orthoses Webinar Coming December 8

You are invited to participate in our next A/B MAC DME spinal orthoses webinar on December 8. This is your opportunity to hear directly from the DME MAC Contractor regarding Medicare’s spinal…

Tutorial: Completing the Medicare Part B Redetermination Request Form

To avoid processing delays, complete the Prior Authorization section of the Medicare Part B Redetermination Form only when the claim is associated with a Prior Authorization service. The “If this…