SPOT feature highlight: Submit documents

Our online portal includes a feature to easily submit specific document types. The Submit Document feature includes a dashboard page that provides quick links to submit new documents, search history for status of previous submissions, and at-a-glance views of your organization’s submission summary and submission history.

The document types that can be submitted through this feature include:

• Medical records in response to additional documentation requests (ADR) – this includes responses to targeted probe and education (TPE) and skilled nursing facility probe and education (SNFPE) requests. A copy of the ADR letter and the claim number is required.
• Provider Audit & Reimbursement Documentation (PARD) – this is for Part A providers only and includes many types of documentation based on the type of audit or request.
• Credit balance reports – Part A providers can submit their credit balance report in this feature.
• General inquiries – general questions regarding the Medicare program can be submitted here.
• Overpayment refunds – features are available for providers to request a voluntary refund of an overpayment for Medicare Secondary Payer (MSP) and non-MSP Part B claims.
• Overpayment redetermination request – Part B providers can use this feature to appeal an overpayment decision.
• Prior authorization requests – this feature is to request prior authorization of certain hospital outpatient department services or Part B certain repetitive scheduled non-emergent ambulance transports (RSNAT).
• 1099 – this feature is used to request copies, make corrections, or dispute the 1099 form that is mailed to providers from First Coast each year. 

Detailed instructions and screen images of all features are available in the SPOT User Guide, Section 8. If you are not yet experiencing the many benefits of SPOT, visit our website for information on How to register for SPOT and begin the enrollment process today.