Last Modified: 3/15/2024
Location: FL, PR, USVI
Business: Part A
This notice is a reminder that the Medicare credit balance report for the quarter ending March 31, 2024, is due by April 30, 2024. The quarterly report is to include all new Medicare credit balances not reported on a previous quarterly report. In addition, your quarterly reports should not contain previously demanded recovery auditor claims, accounts receivable demands, clerical reopenings, or claims previously submitted as voluntary refunds.
When preparing your credit balance report, include a name and telephone number for the individual to be contacted if questions arise regarding the reported data. Adjustment requests should be accompanied with copies of the original UB-04 with the corrections indicated. Please consider the following situations as you prepare your credit balance report for this quarter:
1. If a credit balance has already been reported in a previous quarter, your obligation has been fulfilled. It is not to be reported again on a subsequent period report.
2. If a paper or electronic adjustment bill has been submitted during the quarter, but has not yet been processed, please attempt to ascertain the status of that adjustment before reporting it on the CMS-838 at the end of the quarter. If the adjustment request has not been rejected or returned to the provider (RTP'd), it should be considered as having been successfully filed, and there is no need to reflect that claim again on the quarterly report. If, however, the adjustment bill has been returned, you will need to include it on the quarter's end report since it is not officially residing in the payment system for processing.
3. If corrections to a report that has already been filed are required, please write the word “Amended” on the pages of your report.
It should be noted that, based on current manual instructions, providers not filing their quarterly reports by the due date face possible interest assessment, as outlined in CMS IOM Pub. 100-6, Chapter 12. Failure to comply with the stipulated reporting requirements can also result in the reduction or suspension of all Medicare payments.
All Providers: Fax your CMS-838 to 904-361-0359 or feel free to use SPOT's secure documentation feature
Only when you are repaying the credit balance by check, the check and supporting documentation should be mailed to:
First Coast Service Options
Attn: Cashier
P.O. Box 3162
Mechanicsburg, PA 17055-1837
NOTE: Please put the check(s) on top of your supporting documentation
For additional information pertaining to credit balance questions, instructions, and copies of the necessary forms, please refer to our website or send an email to
JNCreditbalanceinquiries@fcso.com.
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.