This edition includes the 2017 changes to the inpatient and long-term care hospital prospective payment system, effective for discharges occurring on or after October 1, 2016, through September 30, 2017.
This edition includes information on the quarterly update to the outpatient prospective payment system. Also included is an overview of the SNF value-based purchasing program. The purpose of this program as with other VBP programs is to reward quality and improve health care.
This edition includes information on recent authorization that allows overpayments to be recovered from providers that share the same tax identification number, regardless of the billing or national provider numbers.
This edition provides guidance on the physician quality reporting system to rural health clinics, federally qualified health centers, and critical access hospitals who submit claims to Medicare administrative contractors.
This edition includes the 2016 therapy cap for physical therapy and speech-language pathology combined as well as occupational therapy.
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.