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Last Modified: 6/12/2017 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.
Provider Action
Last Updated
Part A
Providers are reporting occurrence span code (OSC) 70 with a date range 30 days or more before the skilled nursing facility (SNF) admission date (receiving reason code 11503) on claims with condition code DR or modifier CR. Providers should not report OSC 70 on claims billed with CC DR or modifier CR.
Remove the OSC 70 when reporting CC DR or modifier CR.
Part A
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.
Part A, Part B
The fiscal intermediary shared system (FISS), direct data entry (DDE), and Medicare multi-carrier system (MCS), and health insurance master record (HIMR) and interactive voice response (IVR) systems have returned to normal operations.
None. Providers are asked to continue to be patient while trying contact First Coast as heavy call volume is expected after several days of outages. We apologize for any inconveniences experienced by this issue
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.