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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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Medical review

Hot topics
more Targeted probe and educate – temporarily postponed
Targeted probe and educate (TPE) reviews have been temporarily postponed due to the public health emergency (PHE) declared as a result of the 2019 novel coronavirus (COVID-19). We encourage providers to focus on patient care and defer discussions related to these reviews after the PHE. First Coast will reach out to providers after the pandemic to offer education based upon prior reviews. In the event providers would like to receive education during this time, we are prepared to provide educational sessions. Please feel free to reach out to the nurse assigned to your case to arrange an educational call.
Targeted probe and educate
CMS has authorized First Coast to conduct reviews utilizing a targeted probe and educate (TPE) review process. View current and upcoming topics, schedules, documentation checklists, educational articles / resources and round results.
Prior authorization
Learn more about the prior authorization (PA) program, including the implementation of the PA program for certain hospital outpatient department (OPD) services.
Medical documentation and checklists
Medical record documentation is required to record pertinent facts, findings, and observations about an individual’s health history including past and present illnesses, examinations, tests, treatments, and outcomes. Find tips, tools and resources for the documentation of clinical services provided to Medicare patients. Use the checklists to ensure you have met medical documentation requirements based on specific services.
Quick clicks
The Secure Provider Online Tool (SPOT) is a free web based application hosted through the Centers for Medicare & Medicaid Services (CMS) Enterprise Identity Management (EIDM) portal. SPOT saves you valuable time by offering the ability to view medical review-related additional documentation requests (MR ADR), education details, submit a response with supporting documentation, and check MR ADR status. SPOT users can also view eligibility data, submit and view level-one appeals outcomes, check claim status, access remittance details, and more.
With today's transition to automation, it is even more important to ensure that your physical and mailing address information are kept current with your Medicare administrative contractor.
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.