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Last Modified: 10/16/2019 Location: FL, PR, USVI Business: Part A, Part B
Current processing issues for Part A and Part B
The table below provides an at-a-glance look at processing issues being worked currently or resolved recently. To sort by line of business (LOB), status, or date last updated, click on that column's header. Click again to change between ascending or descending order.
LOB
Issue
Resolution
Status
Provider Action
Last Updated
Part A
CWF has notified Medicare administrative contractors (MACs) of an issue with entitlement dates missing from new and/or updated beneficiaries processed at CWF between October 7 and October 9, 2019. This caused Part A, home health and hospice, to reject with reason code U5200. MACs will reprocess claims that were suspended; providers should resubmit claims that rejected.
Closed.
Resubmit claims that rejected with reason code U5200, after verifying that the beneficiary was eligible on the date of service and the reason code was assigned incorrectly.
10/17/2019
Part A
CMS has identified an error in the fiscal year (FY) 2019 inpatient psychiatric facility prospective payment system (IPF PPS) pricer. MACs will reprocess affected IPF claims after October 1, 2019.
Open.
None.
9/11/2019
Part B
Due to a system error, some claims for nonparticipating providers were paid incorrectly resulting in overpayments. These claims will be reprocessed and overpayment letters will be issued.
Open.
Providers who receive overpayment letters shall refund the overpaid amounts to First Coasts debt recovery area as directed in the letters.
6/18/2019
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.