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Processing Issues

Modified: 9/14/2017
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Modified: 9/14/2017
In light of Hurricane Irma impacting Florida, Puerto Rico, and the U.S. Virgin Islands and disaster-related claims being billed, Part A providers are unnecessarily reporting OSC 70 on SNF claims billed with the CC DR/Modifier CR, resulting in rejection. Learn what to do to avoid this rejection of disaster-related claims.
Modified: 8/28/2017
Claims are rejecting in error with CWF reason codes U6816, U6817, and U6818 when Part A claims are billed with the applicable CARC codes listed in CR 8984 and CR 9009 which permits a residual payment if the services billed are covered and payable by Medicare.
Modified: 8/23/2017
The fiscal intermediary shared system (FISS), direct data entry (DDE), and Medicare multi-carrier system (MCS), and health insurance master record (HIMR) and interactive voice response (IVR) systems have returned to normal operations. SPOT portal access was not affected.
Modified: 8/4/2017
There are no items in this section at this time.
Modified: 8/2/2017
First Coast Service Options (First Coast) has become aware of an issue for claims RTPing with reason code 34932 and 32104. Providers may resubmit the claims that RTPed incorrectly.
Modified: 8/1/2017
This problem resolved with IOCE logic corrections in the April 2017 quarterly release. All impacted claims have been adjusted.
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.