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Processing Issues

Modified: 8/17/2022
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Modified: 8/17/2022
CMS identified a national system issue which may have inadvertently adjusted previously processed Part B claims with dates of service (DOS) on or after January 1, 2021. These adjustments processed on July 29 through August 2, 2022.
Modified: 7/29/2022
Certain monitored anesthesia codes not included in the 2022 annual Common Working File (CWF) coding update were paid incorrectly. Providers who received corresponding payment from a SNF must return it to receive payment from Medicare.
Modified: 6/9/2022
Claims returned with reason code 32287 incorrectly. Issue expected to be resolved after October 2022 system updates.
Modified: 4/14/2022
Claims that were canceled for 2022 dates of service are posting to the common working file (CWF) and causing various processing issues depending on the claim type. First Coast is working with CMS to resolve the issue.
Modified: 9/15/2021
A claim processing issue has been identified that potentially impacts all Cohort 1 Primary Care First (PCF) participants that submitted claims for flat visit fee (FVF) eligible services processed between January 1, 2021, and February 3, 2021.
Modified: 1/9/2019
There are no items in this section at this time.
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.