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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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Appeals FAQs
more General appeals process
more Overpayment
more Adjust, reopen, or resubmit claims
more Important things to know about Part A appeals
Billing and coverage FAQs
Improve your billing
more Evaluation and management
more E/M interactive worksheet
more Medicare secondary payer (MSP)
Claims FAQs
more Coding inpatient cost outlier claims
more Payment floor
more Claims overlap
more Return to provider (RTP) reason codes
more Reject reason codes
Claims review programs
more Comprehensive Error Rate Testing (CERT)
more Inpatient DRG
more Medically unlikely edits (MUE)
Coding FAQs
more Questions and answers related to the CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities external pdf file
EDI FAQs
more Direct data entry (DDE)
Education FAQs
more First Coast Medicare training
Eligibility FAQs
more Patient eligibility
Fee schedules FAQs
more Fee schedules
Form FAQs
more Form 480.6A "Informativa de Ingreso" FAQ
General inquiry FAQs
more View these helpful quick links before submitting your inquiry.
more General inquiries
Institutional providers FAQs
more Community mental health centers psychiatric partial hospitalization program (CMHC PHP)
more Hospital inpatient
more Rehabilitation services
LCD/Medical affairs FAQs
more LCD
Medical documentation FAQs
more General medical documentation
Medical review FAQs
more Prior authorization for outpatient department services
more Targeted probe and educate
more Service-specific review FAQs
Provider Audit and Reimbursement Department (PARD) FAQs
more Cost report filing
more PS&R registration
Provider enrollment FAQs
more Part A and B: Provider enrollment FAQs
Sequestration FAQs
more Sequestration
Secure Provider Online Tool (SPOT) FAQs
more On-The SPOT-FAQs
more Registration/login FAQs
more SPOT/IDM account-related FAQs
more Multifactor authentication registration
more Benefits and eligibility data
more Claims data and reopening
more Payment data and data reports
more Secure messaging
more Helpful resources
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.
Part A