Providers affected by Hurricanes Harvey, Irma, and Maria

In response to the devastation of Hurricanes Harvey, Irma, and Maria, CMS are granting widespread administrative relief. This administrative relief is in addition to any individual needs required on a case by case basis. First Coast Service Options Inc. (First Coast) will work with these providers to ensure payment is received for covered services. Widespread administrative relief will include the suspension of additional documentation requests (ADRs) related to medical review editing for a period of 30 days, ending October 11, 2017. (Note: Due to Hurricane Maria, this date has been extended for Puerto Rico and the U.S. Virgin Islands to October 30, 2017.) Additionally, providers will be automatically granted 30 additional days to respond to any documentation request that may have already been requested during this 30-day period. If you are unable to submit records due to a disaster related situation, you may attach a letter to the ADR explaining your situation. This will ensure that your claim is handled appropriately. There are some billing situations that may require an explanation or a description of the service billed (e.g., unlisted Healthcare Common Procedure Coding System [HCPCS] codes, modifiers, etc.). If you are including a letter to indicate that you are unable to provide the medical documentation you must provide a contact person as well a telephone number in the event that clarification is needed for claims processing. You may follow your normal process for responding. This information may be found within your ADR letter.

Source: https://medicare.fcso.com