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.]
Searching for: QMB
Items 1 - 24 of 24
Line of Business Filter:
Date Range Filter:
Last Modified: 3/15/2018Location: FL, PR, USVIBusiness: Part A, Part B
Change request (CR) 10433 reestablishes all changes in CR 9911 to the Medicare remittance advice and Medicare summary notice by including qualified Medicare beneficiary (QMB) messages and reflecting $0 cost-sharing liability for the period beneficiaries are enrolled in QMB. This article was revised March 13 to reflect an updated CR. That CR added CARCs 66, 247, and 248. Durable medical equipment Medicare contractors (DME MACs) were added to the “Providers Affected” section. The QMB enrollment numbers were also updated to reflect 2016 statistics and pharmacies were included in the “Background” section. The CR date, transmittal number, and link to the transmittal also changed.
Last Modified: 3/27/2018Location: FL, PR, USVIBusiness: Part A, Part B
Change request (CR) 10494 provides Medicare administrative contractors directions to initiate non-monetary mass adjustments to qualified Medicare beneficiaries (QMB) claims impacted by CR 9911. The goal is to produce replacement Medicare RAs that providers can submit to supplemental payers to coordinate benefits as necessary. Last sentence in “Note” added to clarify when this change will be seen.
Last Modified: 4/18/2018Location: FL, PR, USVIBusiness: Part A, Part B
Some providers may notice a difference in how deductible and coinsurance amounts are being displayed on the remittance advice for QMB claims. CMS reverted back to the previous display on December 8, and provided a guide to identify Medicare cost-sharing amounts on remittance advice. A permanent solution is tentatively scheduled for summer 2018. No provider action is required.
Last Modified: 4/18/2018Location: FL, PR, USVIBusiness: Part A, Part B
If the beneficiary is enrolled as a Qualified Medicare Beneficiary (QMB),
deductible information may not be available at the time of the query. ...
Last Modified: 4/14/2018Location: FL, PR, USVIBusiness: Part A, Part B
Find out how providers can verify the QMB status of a beneficiary who is out of state.
Last Modified: 3/29/2018Location: FL, PR, USVIBusiness: Part A, Part B
This edition includes information regarding a new initiative that will help patients get their electronic medical records and help them with its use.
Last Modified: 3/23/2018Location: FL, PR, USVIBusiness: Part A, Part B
All Medicare physicians, providers, and suppliers who offer services and supplies to qualified Medicare beneficiaries (QMB) may not bill QMBs for Medicare cost-sharing. This article was revised March 22 to include updated information about the remittance advice and Medicare summary notice for all Medicare fee-for-service QMB claims. It also includes new statistics on the number of beneficiaries enrolled in QMB.
Last Modified: 2/3/2018Location: FL, USVIBusiness: Part A
Review minutes from the Part A Provider Outreach and Education Advisory Group (POE-AG) meeting for Florida/USVI.
Last Modified: 12/15/2017Business: Part A, Part B
... Termination Date: Effective Date: MM/DD/YYYY QMB Enrollment ... Eligibility
data for dates of service 10/01/2017 - 10/02/2017 QMB Data ...
Last Modified: 3/22/2018Location: FL, PR, USVIBusiness: Part A, Part B
This edition includes information regarding extended coverage for Medicare patients with advanced cancer, which is designed to assist in making more informed treatment decisions.
Last Modified: Location: Business:
First Coast Service Options Inc. (FCSO) is the Medicare administrative contractor for jurisdiction N, which includes Florida, Puerto Rico, and the U.S. Virgin Islands.
Last Modified: Location: Business:
First Coast Service Options Inc. (FCSO) is the Medicare administrative contractor for jurisdiction N, which includes Florida, Puerto Rico, and the U.S. Virgin Islands.
Last Modified: 2/21/2018Location: FL, USVIBusiness: Part B
Review minutes from the Part B Provider Outreach and Education Advisory Group (POE-AG) meeting for Florida/USVI.
Last Modified: 04/13/2018Location: FL, PR,USVIBusiness: Part A, Part B
This manual provides detailed instructions regarding the use of First Coast's Secure Provider Online Tool (SPOT).
Last Modified: 3/2/2018Location: PRBusiness: Part B
The Part B IVR operating guide will help to increase your knowledge of the technology and services we offer our providers.
Last Modified: 3/15/2018Location: FL, PR, USVIBusiness: Part B, Part A
Secure Provider Online Tool (SPOT) benefits and eligibility data FAQs.
How do I generate a SPOT eligibility report, and ...
Last Modified: 3/2/2018Location: FL, USVIBusiness: Part A
The Part A IVR operating guide will help to increase your knowledge of the technology and services we offer to our providers.
Last Modified: 3/2/2018Location: FL, USVIBusiness: Part B
The Part B IVR operating guide will help to increase your knowledge of the technology and services we offer our providers.
Last Modified: 3/2/2018Location: PRBusiness: Part A
The Part A IVR operating guide will help to increase your knowledge of the technology and services we offer to our providers.
Location: FL, PR, USVI
Secure Provider Online Tool (SPOT) Eligibility and Benefits Tutorial
Last Modified: 2/7/2018Location: FL, PR, USVIBusiness: Part B
View these FAQs for information related to Medicare eligibility.
Last Modified: 3/15/2018Location: FL, PR, USVIBusiness: Part A, Part B
... Hospice/Home Health. • Medicare secondary payer (MSP). • Plan Coverage. •
Qualified Medicare Beneficiary (QMB). To view a ...
Last Modified: 2/15/2018Location: FL, PR, USVIBusiness: Part A
This list explains acronyms commonly used by the PARD (provider audit and review department.)
Last Modified: 4/11/2018Location: FL, PR, USVIBusiness: Part A
Questions and answers pertaining to beneficiary eligibility, as well as billing scenarios and steps to avoid related claim submission errors.
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.