Medicare Administration

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, we process over 83 million claims, and issue more than $16 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 64,000 physicians and health care providers who care for them in Florida. FCSO responds to more than three million inquiries and more than 94 percent of these are handled through our telephone call center in Jacksonville 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.

Good Stewardship

Having forty years of experience in Florida, a state highly susceptible to Medicare fraud, has taught FCSO a lot about good stewardship. Over the years, FCSO has employed a wide range of payment safeguard tools that have saved billions of Medicare trust fund dollars. More recently, FCSO has played a key role in fighting infusion drug and other fraud in South Florida and has saved over $1.2 billion in the last two years alone.