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Forms & Resources
Medicare PECOS Enrollment – FCSO’s NEW Reference Page
By FCA Insurance & Legal Department   
Friday, 18 February 2011

First Coast Service Options (FCSO) has created a new webpage just for online enrolling and updating of enrollment information.

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“Publications For Your Medicare Beneficiaries” Factsheet
By FCA Insurance & Legal Department   
Monday, 14 February 2011

From the Medicare Learning Network:
2011 - The Medicare Learning Network® (MLN) has released a new product titled “Publications For Your Medicare Beneficiaries.”  This factsheet lists a variety of beneficiary-related publications available to assist providers in responding to patients’ questions related to Medicare, all of which can be printed and provided to patients. 

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Understand and Improve Your Medicare Billing
By FCA Insurance & Legal Department   
Tuesday, 08 February 2011

First Coast Service Options, Inc. (FCSO) will provide to you, upon request, a provider billing report that can be used to identify personal billing patterns in comparison with those of your peers. By identifying a potential billing issue in one month and taking action to prevent the issue in the future, you can create a more satisfying and efficient Medicare billing process.  Your administrative costs are increased whenever bills must be rebilled, reposted and analyzed to figure out what you are doing wrong.

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Is Your Medicare Enrollment Information Current?
By FCA Insurance & Legal Department   
Monday, 07 February 2011

Health care providers who find themselves or their practices not listed in the Physician Compare directory on medicare.gov may need to update their enrollment information in PECOS (Provider Enrollment Chain and Ownership System).   This can be done by submitting the appropriate paper form or using Internet based PECOS.

If health care professionals have not sent in a Medicare application to report any changes to their Medicare enrollment information since November 2003, they may not have enrollment records in PECOS.  These individuals will need to submit an initial Medicare enrollment application.


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Medicare Advantage Appeals
By FCA Insurance & Legal Department   
Monday, 31 January 2011

While Medicare Advantage (also known as Part C) plans are NOT regulated or governed by ERISA, there are similar appeal protections.  CMS governs and monitors MA plans, and sets the policies that MA plans must follow. MA plans have contracts with CMS to provide insurance to beneficiaries and CMS pays MA plans to provide those services.   Therefore, the appeals process for MA plans is dictated by CMS. 

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  • Comparative Billing Reports (CBR) - How you are doing compared to Florida and national statistics?
  • Medicare Enrollment Fact Sheets
  • Updates from the Medicare Learning Network
  • FCSO New Contact Information
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