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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.

ALERT: Respond Promptly to Request for Revalidation
By the FCA Help Desk   
Wednesday, 17 May 2017
Medicare is beginning the revalidation process again.  If a practitioner or practice fails to respond timely to these requests they will be deactivated AND will not be able to bill Medicare or collect from the patient for services rendered while deactivated. Members are encouraged to alert their staff to look for any correspondence from Medicare or First Coast Service Options and respond urgently.  Revalidations can be time consuming and frustrating.  The financial impact could be significant, however, if not handled with urgency and importance. Continue reading for important links to help you revalidate with greater success.
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FCSO Is Promoting Electronic Remittance Advices
By the FCA Help Desk   
Wednesday, 30 September 2015

First Coast Service Options, the Florida Medicare Contractor for Regular/Original Medicare claims, is encouraging providers that are currently receiving paper Remittance Advices (EOB's) to sign up for Electronic Remittance Advices.  We are assured that this remains voluntary, but offers the benefits of electronic technology.  Read further to learn more and view the notice from First Coast.

 

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ACA Reports: New 1500 Claim Form Receives Final Approval
By ACAtoday.org   
Friday, 28 June 2013

              (From the ACA “Week In Review” of 06/27/2013) On June 17 , the National Uniform Claim Committee (NUCC) announced  final approval of the Version 02/12 1500 Claim Form by the Office of Management and Budget. NUCC began revisions of the 1500 claim form in 2009 in order to accommodate reporting needs for ICD-10 and Version 5010. 

 

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Members Achieve Success with Medicare Enrollment, Thanks to FCA Webinar
By The FCA   
Tuesday, 04 June 2013
 The FCA is receiving reports of members completing their Medicare enrollment successfully and more quickly when they follow the steps outlined in the FCA webinar, “Medicare Enrollment and Validation.” (see link below)  
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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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