Services Offered by Medicare SPOT

Discover what you can do on the SPOT

First Coast’s Secure Provider Online Tool (SPOT) is a free Web-based application hosted through the Centers for Medicare & Medicaid Services’ Enterprise Identity Management (EIDM) portal external link.

The SPOT: User Guide pdf file and the On-the-SPOT FAQs will show you everything you want to know about:
http://medicare.fcso.com/Help/256025.pdf

*** Benefits/Eligibility Data
*** Claim Data
*** Claim Status
*** Part B Claim Reopening
*** Payment Data
*** Secure Mail (electronic form submission)
*** Part A/B Claim Redetermination Requests
*** Part A Claim Reopening Request
*** Part B MSP and Non-MSP Overpayment Forms
*** Part B Overpayment Redetermination Request
*** Part A/B General Inquiry Requests
*** Data Reports
*** Part A/B Provider Data Summary (PDS)
*** Part B Comparative Billing Report (CBR)


SPOT new account registration will temporarily close March 1 - 15

First Coast Service Options Inc. has suspended processing of new SPOT (Secure Provider Online Tool) account applications and new profile requests through March 15, 2016 due to system updates associated with the annual recertification process.

Providers seeking new SPOT accounts or additional profiles before March 15 may complete the application step and submit it for review. However, new account and additional profile requests will not be reviewed/approved until after processing resumes March 16.

Active SPOT account holders will still enjoy the benefits of its functionality, including the ability to view claims status and patient eligibility information, and to submit redeterminations and additional development responses (ADRs) online. Providers will also have full access to other SPOT features such as detailed data analysis at the claim and provider levels, and the ability reopen claims to make clerical corrections at multiple lines.

If your SPOT password expires during this period, you will still be able to access your account by following these steps to unlock your account and reset your password.

First Coast provides a step-by-step guide to assist you in establishing a new SPOT account. Most providers are able to complete the application and begin using SPOT to streamline their Medicare billing within 48 hours.

How to change password in Medicare CMS SPOT

Q: How often do I need to change my password, and how do I change it?

A: You must log in to the EIDM portal external link once every 60 days to change your password. You may change your Password as well as personal information associated with your Enterprise
Identity Management (EIDM) account through the My Profile menu on the EIDM website.


Change Password

1. Navigate to CMS’ EIDM portal: https://portal.cms.gov

5. Select My Profile from the My Portal menu
6. The View My Profile page will appear
7. Select Change Password from the Change My Profile left-navigation menu

8. Enter appropriate values in the following fields:

a. Old Password

b. New Password

c. Confirm New Password

9. Click the Next button, and the confirmation page will appear

MEDICARE SPOT - Faxed reopening requests will not be accepted after November 30

Expedite your Part B clerical reopening requests with the ‘SPOT’ or IVR

In the past, providers had only two available methods to submit clerical reopening requests to First Coast Service Options Inc.: Mail or fax. However, these submission methods were neither time nor cost efficient.

Today, members of First Coast’s provider community have the opportunity to submit clerical reopening requests through more efficient channels: the Secure Provider Online Tool (SPOT) and the interactive voice response system (IVR).
The SPOT and the IVR allow providers to submit clerical reopening requests directly into a secure database, which helps shorten processing time.

Since the availability of these more expedient submission channels has eliminated the need for providers to fax clerical reopening requests, First Coast will no longer offer that option starting December 1.

Option 1: Correct your claim online with the ‘SPOT’
The SPOT offers registered users the time-saving advantage of not only viewing claim data online but also the option of correcting minor clerical errors in their eligible Part B claims quickly, easily, and securely -- online.
To begin, search for the claim you wish to correct by its ICN or by its date(s) of service in Claim Status. The SPOT will automatically determine if any line items are eligible and prepopulate the online request form accordingly.

You may select the request type for any eligible line item based upon the fields you wish to correct: Date(s) of Service, Procedure Code, Modifier, or Diagnosis Code.

The type of reopening request selected will determine which fields are editable. Once you have completed and reviewed your corrections, submit your request. You will receive a confirmation email that will outline the changes you made.

Option 2: Correct your claim on the telephone with the IVR

If you don’t have online access, you may submit your Part B clerical reopening request through First Coast’s IVR system. Although the IVR offers the same primary request types as the SPOT, the IVR offers the additional option of making history corrections to your claim.

To access your claim through the IVR, you must enter the billing provider’s information (i.e., NPI, PTAN, and TIN), the beneficiary’s information (i.e., name, date of birth, Medicare number), and the ICN of the claim you wish to correct.

After you have selected the request type and have entered corrections for applicable fields, you will be asked to confirm your choices and submit the request. If the request is approved, you will receive a letter and new remittance advice notice.

If you would like to take advantage of First Coast’s telephone submission method for clerical reopening requests, please refer to Telephone reopening requests via the IVR.

Remember, whether you prefer to correct your claims online or on the telephone, you won’t have to wait until December 1. You can fix your claims faster on the SPOT and IVR -- today.