Medicare/Medicaid & Workers’ Compensation
Medicare Information
First Coast Service Options (First Coast)
First Coast, the administrative company for Florida Medicare, is reaching out to newly enrolled providers in the Medicare program and providing in-depth information on Applications and Forms. You may check your Enrollment Status on their site as well.
First Coast has also provided an Introduction to Medicare page; consider this your first stop for accessing valuable resource articles such as:
- Welcome to Medicare
- Claims Resources
- Develop and implement a compliance program
- Reporting place of service (POS) codes
- Welcome prospective providers
- Evaluation and management (E/M) services
- Therapy and Rehabilitation Services FAQ
- Rehabilitation Services News
First Coast also offers educational opportunities, fee schedules and other opportunities.
Other Resources
Contact the APTA Gov. & Payment Advocacy Department for all questions concerning Medicare regulations.
- By Telephone: 800/999-2782, ext. 8533
- By Email
- By Post:
APTA Gov. & Payment Advocacy Dept
1111 North Fairfax Street
Alexandria VA 22314-1488
National Provider Identifier (NPI)
Request and obtain your number before enrolling or making a change to your Medicare enrollment record. If you do not have an NPI, you may request one through the National Plan & Provider Enumeration System (NPPES) website or by calling 1-800-465-3203
Medicaid Information
Access to Florida Medicaid Health Information Network helps health care providers treating Medicaid recipients to make better-informed decisions about their patients. Health care providers can also use the Florida Medicaid Health Information Network to look up patient eligibility and benefits and to submit claims, not only related to Medicaid, but also to other payers.
Resources
Providers can access the Florida Medicaid Health Information Network at:
The current Medicaid provider handbooks are posted on the Medicaid fiscal agent’s Web Portal at www.mymedicaid-florida.com. Click on Public information for Providers, then on Provider Support, and then Provider Handbooks.
Workers’ Compensation
Worker’s Compensation insurance was developed to protect the employer from expensive lawsuits that might arise out of an injury incurred in the workplace. It also ensures the employee receives proper care and compensation for employees who have been injured while working.
Worker’s Compensation insurance policies are provided by private insurers; laws and requirements vary by state. In Florida, any employer with four or more full or part-time employees must provide workers’ compensation insurance.
Resources
The Florida Office of Insurance oversees the Worker’s Compensation system for Florida.
The Florida Department of Financial Services administers the Workers Compensation for the state. They provide information for the employer, insurer, employee and provider.
Members may access the APTA website for additional information on Worker’s Compensation reimbursement for services.
