MLN
Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare &
Medicaid Services) |
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Part A Information
Direct
Data Entry (DDE) of Part A Claims with Rates
TAll Fiscal Intermediaries (FI) and Part
A and Part B Medicare Administrative Contractors (A/B MAC)
CMS Joint Signature Memorandum (JSM)-08365 (June 18, 2008)
With the installation of the C20082UF Fiscal
Intermediary Shared System (FISS) Release, providers began
experiencing a problem when they entered claims that contained
line item rates using the DDE System. After entering the claim
with a line item rate, the system was removing the rate information
and the claim would Return to Provider (RTP) back to them
with reason code 32213.
A fix to ensure that any rate entered remains on the claim
has been created by the FISS maintainer. This fix will be
installed in production on July 7, 2008, with CR FS5033R1.
In the meantime, the maintainer has provided a workaround
that providers can utilize to eliminate seeing these claims
RTP:
To prevent the claim from Returning to the Provider during
claim entry via DDE, the provider should press the “enter”
key after charges have been keyed. This should cause the
rate(s) to be retained. The provider may then scroll forward
using the PF8 key.
Please note that this workaround resolves the dropped rate
issue only if the provider is manually keying claims via the
DDE system. If any sort of screen scraping process is utilized
or if claims are keyed via a clearinghouse, this workaround
will not apply. These providers will need to wait until the
permanent fix is installed with the July 2008 Quarterly Release.
Disclaimer This article was prepared
as a service to the public and is not intended to grant rights
or impose obligations. This article may contain references
or links to statutes, regulations, or other policy materials.
The information provided is only intended to be a general
summary. It is not intended to take the place of either the
written law or regulations. We encourage readers to review
the specific statutes, regulations and other interpretive
materials for a full and accurate statement of their contents.
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