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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.
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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. For the most comprehensive experience, we encourage you to visit Medicare.gov or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
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FAQs

Adjust, reopen, or resubmit claim FAQs
Modified: 6/9/2022
First Coast’s frequently asked questions and answers pertaining to correcting claim errors via the claim adjustment and reopening process, as well as steps to identify when it's appropriate to submit a new claim.
Appeals FAQs -- Part A
Modified: 8/1/2022
Appeals process FAQs
Modified: 6/9/2022
Here are helpful answers to common Medicare appeal questions.
Billing COVID-19 vaccine and administration FAQs
Modified: 5/16/2022
View these FAQs about billing the COVID-19 vaccines and administration.
Billing issues FAQs
Modified: 8/4/2022
CMHC and PHP FAQs
Modified: 6/14/2022
Claim completion FAQs
Modified: 8/4/2022
Claims overlap FAQs
Modified: 8/4/2022
First Coast’s frequently asked questions and answers pertaining to claim overlaps, as well as steps that may be taken to correct and prevent them from recurring.
Coding inpatient cost outlier claims FAQs
Modified: 8/6/2022
Comprehensive Error Rate Testing (CERT) FAQs
Modified: 7/4/2022
Cost report filing FAQs
Modified: 7/14/2022
Deductible FAQ
Modified: 5/16/2022
Denial reason code FAQs
Modified: 6/24/2022
Here are steps you can take to avoid frequently seen denial reason codes.
Direct data entry (DDE) FAQs
Modified: 4/7/2022
Eligibility FAQs
Modified: 7/4/2022
View these FAQs for information related to Medicare eligibility.
Evaluation and management (E/M) FAQs
Modified: 6/14/2022
Evaluation and management (E/M) FAQs -- Documentation and guidelines
Modified: 7/4/2022
Evaluation and management (E/M) FAQs -- Emergency department/room (ER) care
Modified: 5/24/2022
Evaluation and management (E/M) hospital care FAQs
Modified: 7/4/2022
View frequently asked questions pertaining to hospital care evaluation and management.
Evaluation and management (E/M) interactive worksheet FAQs
Modified: 8/10/2022
View FAQs pertaining to our interactive E/M worksheet.
Evaluation and management (E/M) modifiers FAQs
Modified: 7/28/2022
Evaluation and management (E/M) service components FAQs
Modified: 8/4/2022
Fee schedules FAQs -- Part A
Modified: 7/26/2022
Fee schedules FAQs -- Part B
Modified: 7/26/2022
First Coast Medicare training FAQs
Modified: 7/14/2022
Form 480.6A "Informativa de Ingreso" FAQ
Modified: 8/4/2022
Questions and answers pertaining to form 480.6A "Informativa de Ingreso."
Hospice and Home Health FAQs
Modified: 7/4/2022
Hospital inpatient FAQs
Modified: 8/4/2022
View frequently asked questions pertaining to inpatient hospitals.
Incident to FAQs
Modified: 6/14/2022
Local coverage determination (LCD) FAQs
Modified: 4/24/2022
Medical documentation FAQs
Modified: 7/28/2022
Medically unlikely edits FAQs
Modified: 8/4/2022
Medicare Secondary Payer FAQs
Modified: 7/8/2022
Medicare secondary payer (MSP) FAQs
Modified: 7/8/2022
Modifier FAQs
Modified: 8/4/2022
Multifactor authentication (MFA) FAQs
Modified: 4/1/2022
Overpayment FAQ
Modified: 5/19/2022
Overpayment FAQs
Modified: 5/18/2022
Patient eligibility FAQs
Modified: 8/4/2022
View questions and answers pertaining to patient eligibility.
Payment floor FAQs
Modified: 7/22/2022
Provider enrollment FAQs -- Part A and B
Modified: 5/26/2022
Provider statistical and reimbursement (PS&R) report registration FAQs
Modified: 7/8/2022
Rehabilitation services FAQs
Modified: 6/14/2022
Reject reason code FAQs
Modified: 8/5/2022
View answers to questions pertaining to the most frequently seen reject reason codes.
Return to provider (RTPs) reason code FAQs
Modified: 8/5/2022
View answers to questions pertaining to the most frequently seen RTP reason codes.
SPOT Claim data/reopening FAQs
Modified: 4/1/2022
SPOT IDM profile FAQs
Modified: 4/1/2022
SPOT benefits and eligibility FAQs
Modified: 4/7/2022
SPOT helpful resources FAQs
Modified: 4/1/2022
SPOT registration and log in FAQs
Modified: 4/1/2022
SPOT secure documentation FAQs
Modified: 4/8/2022
Secure Provider Online Tool (SPOT) Remote Identity Proofing (RIDP) FAQs
Modified: 4/1/2022
Secure Provider Online Tool (SPOT) payment data and data report FAQs
Modified: 4/1/2022
Service-specific review FAQs
Modified: 6/22/2022
Skilled nursing facility (SNF) FAQ -- Consolidated billing (Part B)
Modified: 7/8/2022
Targeted Probe and Educate FAQs
Modified: 6/22/2022
Unprocessable claims FAQs
Modified: 6/23/2022
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.