Appeals news
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Confirm your appeal requests have been received by First Coast Service Options.
Modified: 7/27/2018
Before you request a redetermination on a denied claim, review these tips to avert delays in payment and save some valuable time.
Modified: 7/27/2018
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: 7/26/2018
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: 8/10/2018
The Centers for Medicare & Medicaid Services has started accepting expressions of interest for a limited settlement agreement option for appellants with fewer than 500 appeals pending at the Office of Medicare Hearing and Appeals and the Medicare Appeals Council at the Departmental Appeals Board.
Modified: 7/26/2018
Find information regarding the appeals process -- levels, forms, training, FAQs, and how to appeal Medicare coverage and payment decisions.
Modified: 7/19/2018
Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.
Modified: 7/7/2018
Find the appropriate forms to appeal claim decisions.
Modified: 7/7/2018
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: 7/6/2018
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: 7/6/2018
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: 6/28/2018
Find appeals related contact information.
Modified: 6/15/2018
These are questions the contact center regularly receives regarding general information about appeals, overpayment appeals, reopenings and the SPOT with their answers.
Modified: 6/14/2018
Effective March 1, 2017, First Coast no longer issues Part B fully favorable redetermination decision letters.
Modified: 5/24/2018
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: 4/14/2018
Find appeals related contact information.
Modified: 3/9/2018
Find the appropriate forms to report or dispute an overpayment.
Modified: 2/27/2018
Find appeals related contact information.
Modified: 1/3/2018
Use this tool for confirmation that appeal requests have been received by First Coast Service Options
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