skip to content
Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:
This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. Information for Medicare beneficiaries is only available on the medicare.gov website.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 4/24/2018 Location: FL, PR, USVI Business: Part A

Electronically file FAQ

Q: What does it mean to file electronically?
A: The electronic cost report must be created on the Centers for Medicare & Medicaid Services (CMS)-approved cost report software. Submit the electronic cost report, along with supporting documentation, on a CD-ROM (preferred), diskette, or flash drive. When submitting protected health information (PHI), proper steps must be taken to ensure it is encrypted and complies with Federal Information Processing Standards (FIPS) 140-02 external pdf file. First Coast offers the option of filing your cost report via the MCReF (Medicare Cost Report eFiling) portal. Information on registering and filing can be found on the MCReF homepage. Please note that the originally signed Worksheet S certification page must be submitted in hardcopy format per CMS regulations. Also note effective for cost reporting periods ending on or after December 31, 2017, a provider that is required to file an electronic cost report may elect to electronically submit the settlement summary and certification statement with an electronic signature of the provider's administrator or chief financial officer. The checkbox for electronic signature and submission immediately follows the certification statement must be checked if electronic signature and submission is elected.
list item Please use your browser's back button to return to the referring page.
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.