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Processing Issues

Current processing issues for Part A and Part B
Modified: 10/28/2022
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Partial hospitalization program outpatient claims editing incorrectly
Modified: 10/28/2022
Partial hospitalization program claims are editing incorrectly. Read more to learn about this issue.
End stage renal disease (ESRD) treatment choices (ETC) model adjustment applied incorrectly
Modified: 10/25/2022
The end stage renal disease (ESRD) treatment choices (ETC) model adjustment was applied incorrectly. Read more to learn about the resolution.
340B-acquired drug claims billed with modifier JG differential payment rates vacated
Modified: 10/21/2022
The US District Court vacated the differential payment rates for 340B-acquired drugs. Read more to learn about the resolution and the actions providers need to take.
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.
Part A