what we do
our stakeholders
FCSO Is Committed To Providing Value For Our Customers.
First Coast Service Options (FCSO) is committed to providing value for our customers. By that, we mean meeting customer expectations at the best possible price. Our primary customer, the Centers for Medicare & Medicaid Services (CMS), has very clear expectations: process Medicare claims timely and accurately, meet the service needs of Medicare beneficiaries and providers and diligently manage Medicare program finances. CMS properly expects that all this be done at the best possible price.
Claims Processing
As the primary traditional Medicare administrator in Florida and the Medicare Part B carrier in Connecticut, we process more than 96 million claims, respond to more than four million beneficiary and provider inquiries and issue more than $17 billion in Medicare benefits annually. We process more than eight percent of the nation's claims. By focusing on the efficiency of our key business processes, we have improved transactional productivity for claims and inquiry processes every year we have been in business. This improvement is driven by an organization-wide effort to ensure every aspect of claims processing facilitates accurate claims payment.
Customer Service
FCSO is proud to serve more than three million of America's seniors and people with disabilities and 85,000 physicians and health care providers who care for them in Florida and Connecticut. FCSO responds to more than four million inquiries and more than 94 percent of these are handled through our telephone call centers in Jacksonville and Meriden. When recently surveyed, Medicare beneficiaries and providers gave FCSO an impressive 96 percent satisfaction rating.
To reinforce the critical role providers play in filing claims correctly, FCSO's nationally recognized education and training department uses various methods such as creative hi-tech curricula design to reach large, diverse health care providers throughout the nation.
Financial Stewardship
FCSO continues to manage Medicare program finances. First, FCSO successfully implemented CMS’ new general ledger accounting system for our Medicare Part A operation, becoming just one of a handful of contractors to do so. This new system is critical to the proper management of the significant Medicare program benefits FCSO processes on behalf of CMS.