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FAQs

Adjust, reopen, or resubmit claim FAQs
Modified: 8/21/2018
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.
Ambulance services FAQs
Modified: 8/30/2018
Appeals FAQs -- Part A
Modified: 8/9/2018
Appeals process FAQs
Modified: 8/21/2018
Here are helpful answers to common Medicare appeal questions.
Billing issues FAQs
Modified: 10/5/2018
CMHC and PHP FAQs
Modified: 8/3/2018
Claim completion FAQs
Modified: 10/5/2018
Claims overlap FAQs
Modified: 7/20/2018
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: 8/22/2018
Comprehensive Error Rate Testing (CERT) FAQs
Modified: 9/20/2018
Cost report filing FAQs
Modified: 8/1/2018
Critical care FAQs
Modified: 8/3/2018
Deductible FAQ
Modified: 8/28/2018
Denial reason code FAQs
Modified: 8/27/2018
Here are steps you can take to avoid frequently seen denial reason codes.
Direct data entry (DDE) FAQs
Modified: 9/29/2018
Electronic funds transfer (EFT)/CMS 588 FAQs
Modified: 8/3/2018
Eligibility FAQs
Modified: 8/3/2018
View these FAQs for information related to Medicare eligibility.
Emergency department/room (ER) care FAQs
Modified: 7/17/2018
Evaluation and management (E/M) FAQs
Modified: 7/17/2018
Evaluation and management (E/M) documentation and guidelines FAQs
Modified: 7/17/2018
Evaluation and management (E/M) hospital care FAQs
Modified: 7/17/2018
Evaluation and management (E/M) interactive worksheet FAQs
Modified: 9/22/2018
Evaluation and management (E/M) key components FAQs
Modified: 7/17/2018
Evaluation and management (E/M) modifiers FAQs
Modified: 7/17/2018
Fee schedules FAQs -- Part A
Modified: 8/17/2018
Fee schedules FAQs -- Part B
Modified: 8/17/2018
First Coast Medicare training FAQs
Modified: 8/24/2018
Form 480.6A "Informativa de Ingreso" FAQ
Modified: 8/10/2018
Questions and answers pertaining to form 480.6A "Informativa de Ingreso".
Hospice FAQs
Modified: 9/4/2018
Hospital inpatient FAQs
Modified: 9/4/2018
Incident to FAQs
Modified: 8/30/2018
Local coverage determination (LCD) FAQs
Modified: 8/31/2018
Medical documentation FAQs
Modified: 7/23/2018
Medically unlikely edits FAQs
Modified: 9/11/2018
Medicare Secondary Payer FAQs
Modified: 7/27/2018
Medicare secondary payer (MSP) FAQs
Modified: 8/3/2018
Modifier FAQs
Modified: 9/21/2018
Multifactor authentication (MFA) FAQs
Modified: 8/9/2018
Observation care FAQs
Modified: 9/21/2018
Ordering/referring provider FAQs
Modified: 8/28/2018
Overpayment FAQ
Modified: 8/26/2018
Overpayment FAQs
Modified: 8/4/2018
Patient eligibility FAQs
Modified: 9/21/2018
Questions and answers pertaining to beneficiary eligibility, as well as billing scenarios and steps to avoid related claim submission errors.
Payment floor FAQs
Modified: 8/24/2018
Preventive services FAQs
Modified: 9/21/2018
Provider enrollment FAQs -- Part A
Modified: 8/28/2018
Provider enrollment FAQs -- Part B
Modified: 8/3/2018
Provider statistical and reimbursement (PS&R) report registration FAQs
Modified: 10/2/2018
Rehabilitation services FAQs
Modified: 8/20/2018
Reject reason code FAQs
Modified: 9/20/2018
Remote Identity Proofing FAQs
Modified: 8/9/2018
Here are helpful answers to questions related to remote identity proofing (RIDP) for EIDM and SPOT access.
Return to provider (RTPs) reason code FAQs
Modified: 8/6/2018
Revalidation FAQs
Modified: 8/21/2018
SPOT Claim data/reopening FAQs
Modified: 9/14/2018
SPOT EIDM profile FAQs
Modified: 9/1/2018
SPOT benefits and eligibility FAQs
Modified: 9/1/2018
SPOT helpful resources FAQs
Modified: 9/1/2018
SPOT registration and log in FAQs
Modified: 8/30/2018
SPOT secure messaging FAQs
Modified: 9/1/2018
Secure Provider Online Tool (SPOT) Remote Identity Proofing (RIDP) FAQs
Modified: 9/1/2018
Secure Provider Online Tool (SPOT) payment data and data report FAQs
Modified: 9/22/2018
Signature requirements FAQs
Modified: 8/25/2018
Skilled nursing facility (SNF) (Part B) FAQ
Modified: 8/12/2018
Split/shared visit FAQs
Modified: 7/17/2018
Unprocessable claims FAQs
Modified: 9/20/2018
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.