First Coast Service Options, Inc. (First Coast) has extensive experience performing Medicare Part A provider audit and reimbursement activities, with superb timeliness and quality results. The tenure and experience of our staff has enabled us to expand beyond Medicare and into Medicaid. First Coast performs audits of all Florida hospitals participating in the Medicaid Program to ensure the hospitals are properly reimbursed for services rendered to Medicaid beneficiaries. First Coast also performs Disproportionate Share Reviews (DSR) for the state as part of the Hospital Audit Contract. The DSR reviews are designed to review key data elements used by the state to allocate appropriated funds earmarked for uncompensated care provided by hospitals to patients. The Hospital Audit Contract with the State of Florida, to perform the hospital and Disproportionate Share audits, is negotiated annually and has been awarded to First Coast repeatedly for more than two decades.