skip to content
Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:
This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. Information for Medicare beneficiaries is only available on the medicare.gov website.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]

Billing news

Tired of paper?

Secure Provider Online Tool (SPOT)

Did you know you can check claim status and find eligibility and benefits data online?
Modified: 2/14/2018
To correct claims returned for beneficiary name and number mismatch, take the following action. [CR 7260]
Modified: 2/8/2018
The Centers for Medicare & Medicaid Services (CMS) has issued a national coverage determination (NCD) to cover SET for beneficiaries with intermittent claudication (IC) for the treatment of symptomatic PAD. [MM10295]
Modified: 2/6/2018
Change request (CR) 10433 reestablishes all changes in CR 9911 to the Medicare remittance advice and Medicare summary notice by including qualified Medicare beneficiary (QMB) messages and reflecting $0 cost-sharing liability for the period beneficiaries are enrolled in QMB. [MM10433]
Modified: 1/29/2018
Review information from CMS about its action regarding recently expired Medicare legislative provisions.
Modified: 1/25/2018
This special edition article provides information on the next generation accountable care organization model’s benefit enhancement waiver initiatives and supplemental claim processing direction. This article was revised January 23 to revise the “Telehealth Expansion” portion of the article and to add Attachment A to the article. [SE1613]
Modified: 1/24/2018
Change request (CR) 10044 provides instruction to Medicare administrative contractors to implement two new benefit enhancements for performance year three of the next generation accountable care organization (NGACO) model. This article was revised January 23 to reflect the revised CR 10044 issued November 22, 2017. In the article, the CR release date, transmittal number, and the web address of the CR are revised. All other information remains the same. [MM10044]
Modified: 1/17/2018
This information outlines the process for the 935 recoupment.
Modified: 1/17/2018
To determine if a claim was medically reviewed, providers should look at certain fields on the claim screen. [Provider Outreach and Education]
Modified: 1/16/2018
The 2018 updated list of healthcare common procedure coding system (HCPCS) codes for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) jurisdictions is now available. [MM10416]
Modified: 1/11/2018
Learn which modifier to use when you expect Medicare will deny a claim that does not meet medical necessity criteria and whether you have or do not have an advanced beneficiary notice (ABN) signed by the beneficiary.
Modified: 1/11/2018
This article provides information regarding unsolicited/voluntary refunds; that is, monies received by Medicare not related to an open account receivable.
Modified: 1/7/2018
This article reviews specific points that providers should consider regarding CCM guidelines, along with a link to a Medicare Learning Network® (MLN®) article that outlines the CCM guidelines in more detail.
Modified: 12/29/2017
The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 2.625 percent is in effect, from January 1, 2018, through June 30, 2018. [Publication 100-04, Chapter 1, Section 80.2.2]
Modified: 12/26/2017
The Centers for Medicare & Medicaid Services (CMS) recently issued the 2016 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. [MM9410]
Modified: 12/24/2017
The Centers for Medicare & Medicaid Services (CMS) recently issued the 2017 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. [MM9902]
Modified: 12/11/2017
The Centers for Medicare & Medicaid Services (CMS) recently issued the 2018 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. [MM10405]
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.