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Last Modified: 9/26/2022 Location: FL, PR, USVI Business: Part A

Submit Part A financial documentation requests electronically

Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you to use. Additionally, submitting documentation electronically:
Saves time, electronic submission eliminates mailing delays
Eliminates administrative costs, electronic submission costs nothing
Protects patient information, electronic submission is secure
Allows for the immediate confirmation of receipt, electronic submission provides transaction confirmations
Read on to find out how you can avoid the wait by submitting electronically.
What are you trying to submit?
Including Supplemental Security Income (SSI) realignment requests, wage index/occupational mix submissions, cost report reopening requests, and more.

Immediate recoupment request

The immediate recoupment process is for providers who have received an overpayment demand letter from Medicare. You may elect to have your overpayment(s) repaid through the immediate recoupment process and avoid paying by check or waiting for the standard recoupment that begins 41 days from the date of the initial demand letter.

Electronic Submission Method

Submission Instructions

Additional Resources

Fax
The fax to image option allows for documentation to be submitted directly to First Coast.
Fax responses to (904) 361-0359
For details and submission guidelines refer to Immediate Recoupment/Offset Request Form.

ERS

An ERS is an option for returning overpaid money to First Coast. Ideally, a request for an ERS should be made immediately after receiving the initial demand letter; however, an ERS can be requested at any point in time the overpayment is outstanding.

Electronic Submission Method

Submission Instructions

Additional Resources

Email
To facilitate prompt attention to your request for an ERS, please use the appropriate link below to access a checklist of information that is required:
E-mail the documentation to FCSO-ERS@FCSO.com
For more information, refer to Overpayment forms webpage.

Bankruptcy notification

When a provider files for bankruptcy, First Coast must be notified immediately.

Electronic Submission Method

Submission Instructions

Additional Resources

Email
Submit a copy of the notification to FCSO-BankruptcyNotification@fcso.com
Include the following information:
Name the bankruptcy is filed under
District where the bankruptcy was filed
Docket number
NPI
For details and additional information refer to Notify First Coast Service Options if you file bankruptcy article

Credit balance report

When a provider receives an improper or excess payment for a claim, it is reflected in their accounting records (patient accounts receivable) as a “credit”. Providers are required to submit quarterly credit balance reports to identify whether or not credits exist.
Note: Credit balances being repaid by check cannot be submitted via these options and must be received by mail only. For details, links and submission guidelines refer to credit balance reporting resources.

Electronic Submission Method

Submission Instructions

Additional Resources

SPOT
SPOT is a FREE, secure internet portal for Part A and B customers to use to easily connect directly to First Coast. SPOT provides quick access to a number of time-saving features.
To submit a credit balance report, select the submit documentation option from the SPOT toolbar and then select credit balance report from the drop down.
To learn more and enroll for SPOT, visit the SPOT webpage.
Fax
The fax to image option allows for documentation to be submitted directly to First Coast.
Fax check and supporting documentation to (904) 361-0359.
For more information, visit credit balance reporting resources.

Cost report

Each year, Medicare Part A providers must submit an acceptable Medicare cost report package to their MAC for the purposes of determining their Medicare reimbursable cost. The package consists of a variety of cost report materials.
For details and submission guidelines refer to cost report resources.

Electronic Submission Method

Submission Instructions

Additional Resources

Medicare Cost Report Electronic Filing (MCReF)
The MCReF provides all Medicare Part A providers the ability to electronically file 100% of their Medicare cost report package, including all supporting documentation, directly to their MAC.
Successful MCReF submissions will immediately be received by the provider’s MAC to begin their 30-day cost report acceptance process.
To learn more, visit the Medicare Cost Report Electronic Filing (MCReF) external link on the CMS website.

PARD documentation

Submit documentation to PARD including supplemental SSI realignment requests, wage index/occupational mix submissions, cost report reopening requests, and more.

Electronic Submission Method

Submission Instructions

Additional Resources

SPOT
SPOT is a FREE, secure internet portal for Part A and B customers to use to easily connect directly to First Coast. SPOT provides quick access to a number of time-saving features.
To submit PARD documentation, select the submit documentation option from the SPOT toolbar and then select Provider Audit & Reimbursement from the drop down.
The selections in the document type dropdown will allow you to submit a wide variety of documentation to PARD:
Cost report reopening requests
PRRB (cost report) appeals
SSI realignment requests
Provider-based determination
Wage index/occupational mix submissions
Desk review/audit additional documentation
FOIA requests
PS&R report requests
General correspondence
Certified registered nurse anesthetist
To learn more and enroll for SPOT, visit the SPOT webpage.
For more information about PARD, visit the PARD webpage.
First Coast offers free education on the submission methods described above. Access the following to learn more:
Learning On Demand education
Back to the Avoid the wait home page to explore more topics and options for electronic submission:
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.