This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
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
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.
There are no items in this section at this time.
First Coast has become aware of issues with outpatient prospective payment system (OPPS) services due to Integrated Outpatient Code Editor (IOCE) logic errors.
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.
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.
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