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Processing Issues

Modified: 5/24/2017
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Modified: 5/24/2017
First Coast Service Options (First Coast) has become aware of an issue for claims RTPing with reason codes 32103 and 32104. Providers should resubmit the claims that RTPed incorrectly. Claims that were being held are being released for processing
Modified: 5/19/2017
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: 5/4/2017
There are no items in this section at this time.
Modified: 5/1/2017
First Coast has become aware of issues with outpatient prospective payment system (OPPS) services due to Integrated Outpatient Code Editor (IOCE) logic errors.
Modified: 4/12/2017
The Centers for Medicare & Medicaid Services (CMS) has identified overpayments related to change request (CR) 9479 and CR 9601, which caused reimbursement to be applied to non-covered drug Healthcare Common Procedure Coding System (HCPCS) lines on Outpatient Prospective Payment System (OPPS) claims for claims with receipt date on or after October 1 2016, and dates of service on or after January 1, 2016, through March 6, 2017.
Modified: 3/16/2017
The Centers for Medicare & Medicaid Services (CMS) has instructed Medicare administrative contractors to adjust CCM claims for rural health clinics (RHCs) and federally qualified health centers (FQHCs) that were processed incorrectly.
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.