Appeals news
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Confirm your appeal requests have been received by First Coast Service Options.
Modified: 9/14/2017
Before you request a redetermination on a denied claim, review these tips to avert delays in payment and save some valuable time.
Modified: 9/14/2017
Using First Coast web tools to manage the claim appeal process will save you time and money.
Now that you reviewed those steps and concluded that your claims are eligible for redetermination, how do you proceed? First Coast offers the following tips for managing the appeal process.
Now that you reviewed those steps and concluded that your claims are eligible for redetermination, how do you proceed? First Coast offers the following tips for managing the appeal process.
Modified: 7/31/2017
First Coast Service Options Inc (First Coast) offers multiple ways of appealing a claim denial. The most efficient way to do so is through First Coast’s Secure Provider Online Tool (SPOT).
Modified: 9/19/2017
Change request (CR) 9815 updates the 'Medicare Financial Management Manual' regarding limitations on recovery of certain overpayments. This article was revised September 15 to reflect an updated CR that corrected format errors in the manual instructions. In the article, the CR release date, transmittal number, and link to the transmittal changed. All other information remains the same. [MM9815]
Modified: 9/15/2017
Find information regarding the appeals process -- levels, forms, training, FAQs, and how to appeal Medicare coverage and payment decisions.
Modified: 9/13/2017
Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.
Modified: 9/10/2017
Find appeals related contact information.
Modified: 8/11/2017
Find appeals related contact information.
Modified: 8/9/2017
Completion of the overpayment redetermination request for a Medicare Part B claim form and receipt in the appropriate mailbox is critical to correct processing of an overpayment redetermination request.
Modified: 7/31/2017
Find the appropriate forms to appeal claim decisions.
Modified: 7/22/2017
Use this tool for confirmation that appeal requests have been received by First Coast Service Options
Modified: 7/21/2017
Find appeals related contact information.
Modified: 7/12/2017
Find the appropriate forms to appeal claim decisions.
Modified: 7/7/2017
The time limit for filing a request for redetermination may be extended in certain situations. Good cause may be found when the record clearly shows, or the provider, physician or other supplier alleges and the record does not negate, that the delay in filing was due to one of the covered reasons.
Modified: 7/7/2017
This fact sheet provides information about each level of appeal and describes how the Medicare appeals process applies to providers and participating physicians and suppliers. Non-participating physicians and suppliers have limited appeal rights.
Modified: 6/30/2017
Find appeals related contact information.
Modified: 6/29/2017
Claims that are returned as unprocessable cannot be appealed. So what do you do with them? An unprocessable claim is one that is filed with incomplete and/or invalid information. This article provides resources for you to diagnose unprocessable claims and resubmit them with correct information to get them paid.
Modified: 4/13/2017
Find appeals related contact information.
Modified: 4/6/2017
Find appeals related contact information.
Modified: 4/6/2017
Find the appropriate forms to report or dispute an overpayment.
Modified: 4/6/2017
Find the appropriate forms to report or dispute an overpayment.
Modified: 3/2/2017
Effective March 1, 2017, First Coast no longer issues Part B fully favorable redetermination decision letters.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
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