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Medicare & CMS News
If you can’t find the information you are looking for or need help with a question, contact the FCA Insurance and Legal Liaison Office.

First Coast Service Option Medicare Denials for Missing Modifier
By The FCA   
Friday, 01 February 2013

The FCA has recently learned from our members that First Coast Service Options (FCSO) has begun denying Physical Medicine modality and therapy codes due to a missing modifier. We await further official confirmation from our FCSO liaison, which will be forwarded immediately to you, our member.

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Medicare Mandates ALL Payments Sent Electronically (EFT)
By CMS   
Friday, 27 July 2012

If you are not already receiving Medicare payments by Electronic Transfer of Funds (EFT's), please read below.  

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Medicare Enrollment Online Now Accepts E-Signatures
By FCA Insurance & Legal Department   
Friday, 30 March 2012

For providers enrolling for the first time, updating information or re-validating, the internet based system, PECOS, now facilitates submitting electronic signatures.

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Medicare Prepayment Edits Denying Claims
By FCA Insurance & Legal Department   
Friday, 30 March 2012

Recently, First Coast Service Options, Inc., (FCSO) had a teleconference call with the FCA regarding changes affecting Florida Chiropractic services.  This call explained the recent questions from many members who were already receiving denials without any review of records.  FCSO confirmed that we should anticipate an increase in these front-end denials.  So, what does it mean to you and what can you do?

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Were You Sent a Request to Revalidate Your Medicare Enrollment?
Monday, 05 March 2012
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Major Improvements to Medicare Online Enrollment System
By CMS   
Friday, 17 February 2012

From CMS:

Over the last year, we have listened to your feedback about the Medicare online enrollment system, PECOS (“Provider Enrollment, Chain, and Ownership System”).  As a result, we’ve made upgrades in order to reduce data entry time and increase access to information.

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Preparing for the January 1, 2012 Version 5010 Deadline
By CMS   
Friday, 16 December 2011

With the January 1st compliance deadline quickly approaching, CMS has come out with the following information.  This contains links to many helpful resources.

Remember that The 5010 Initiative applies to those offices that transmit protected health information (PHI).  Of course, offices that bill electronically are transmitting PHI.  The small office exemption will still apply.  At this time, those offices with fewer than 10 full time employees (FTE) are exempt from billing electronically.

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Medicare Overpayments
By FCA Insurance & Legal Department   
Wednesday, 09 November 2011

The process has changed for those receiving an Overpayment Notice.

Although most physicians are not affected, if you receive a notice of overpayment from Medicare, the process has changed.  Follow up letters will not be sent, but the collection process continues. 

TIP: Do not ignore or put off looking at communications from CMS, Medicare or First Coast Service Options (FCSO).

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Revised Medicare Revalidation Information
By FCA Insurance & Legal Department   
Monday, 07 November 2011

Have you received notice from Medicare, saying you must REVALIDATE?

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Medicare Providers Mandated to Receive Reimbursements Through EFT
By FCA Insurance & Legal Department   
Friday, 16 September 2011

If you are not already receiving Medicare payments electronically, you should expect First Coast Service Options, Inc. (your Medicare Administrator) to contact you to revalidate your enrollment information.  See Medicare notice below. 

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