skip to content
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.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:
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. Information for Medicare beneficiaries is only available on the medicare.gov website.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]

Processing Issues

Modified: 11/16/2017
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Modified: 11/16/2017
Some providers may notice a difference in how deductible and coinsurance amounts are being displayed on the remittance advice for QMB claims. CMS will revert back to the previous display on December 8, and until then, CMS has provided a guide to identify Medicare cost-sharing amounts on remittance advice. No provider action is required.
Modified: 10/27/2017
It has been discovered that the current integrated outpatient code editor (IOCE) is incorrectly applying deductible and coinsurance to HCPCS code G0473. The system will be updated in January and Medicare administrative contractors will mass adjust these claims within 60 calendar days of the update. This article was revised October 27 to reflect revisions to the receipt date and type of bill criteria of impacted claims.
Modified: 10/12/2017
A file upload of ICD-10 diagnosis codes caused claims to deny in error.
Modified: 10/3/2017
Due to the October implementation of 2017-2018 influenza vaccine payment allowances, the Centers for Medicare & Medicaid Services has directed contractors to reprocess claims that were processed on or after August 1.
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: 8/4/2017
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.