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Fiscal Intermediary Standard System/Direct Data Entry Provider Online Guide

Introduction

Topic Last Reviewed/Updated
Purpose of the FISS/DDE Provider Online Guide 4/4/2018
Accessing the CWF Health Insurance Query Access (HIQA) Inquiry 4/4/2018
Electronic Submissions 3/28/2016

Chapter I: Online System Terminology

Topic Last Reviewed/Updated
Medicare Number 4/24/2018
Document Control Number 4/15/2018
Processing Drivers and System Claim Paths 4/15/2018
Claim Status and Location Codes 1/31/2019
Reason Codes 4/15/2018

Chapter II: Online Menu Functions Overview

Topic Last Reviewed/Updated
Main Menu 4/6/2018
Inquiries Submenu 12/18/2018
Claims/Attachments Submenu 4/6/2018
Claims Correction Submenu 4/6/2018
Online Reports View Submenu 4/6/2018
Online Menu Selection Quick-Reference Guide 4/12/2018

Chapter III: Navigating the Online System

Topic Last Reviewed/Updated
Screen Movements 5/16/2017
Program Function Keys 5/16/2017
Printing FISS Screens 4/15/2018

Chapter IV: Inquiries Submenu (01)

Topic Last Reviewed/Updated
Beneficiary/CWF (10) 12/18/2018
DRG (Pricer/Grouper) (11) 12/18/2018
Claims (12) 12/18/2018
Revenue Codes (13) 12/18/2018
HCPCS Codes (14) 12/18/2018
DX/Proc Codes ICD-9 (15) 12/18/2018
Adjustment Reason Codes (16) 12/18/2018
Reason Codes (17) 12/18/2018
ZIP Code File (19) 12/18/2018
OSC Repository Inquiry (1A) 12/18/2018
Claim Count Summary (56) 12/18/2018
Home Health Payment Totals (67) 12/18/2018
ANSI Reason Codes (68) 12/18/2018
Invoice No/DCN Trans (88) 12/18/2018
DX/Proc Codes ICD-10 (1B) 12/18/2018
CMHC Services Payment Totals 12/24/2018
Check History (FI) 12/18/2018
Provider Practice Address Query (1D)
3/29/2019

Chapter V: Claims/Attachments Submenu (02)

Topic Last Reviewed/Updated
Claim Data Entry 3/21/2019
Roster Bill Entry (87) 9/13/2018
ESRD CMS-382 Form Attachments (57) 6/19/2018

Chapter VI: Claims Correction Submenu (03)

Topic Last Reviewed/Updated
Pacemaker Attachment (42) 9/9/2016
Ambulance Attachment (43) 9/18/2018
Therapy Attachment (44) 9/18/2018
Home Health Attachment (45) 9/9/2016

Chapter VII: Online Reports View Submenu (04)

Topic Last Reviewed/Updated
Summary of Reports (R1) 7/21/2016
View a Report (R2) 6/23/2017
About the 050 Claims Returned to Provider 1/4/2019
About the 201 Pend Report 7/29/2016
About the 702 ACS Appeals Received Report 6/23/2017
Credit Balance Report/CMS-838 (R3) 9/13/2018

Resources

Topic Last Reviewed/Updated
Electronic MSP Specifications for Inbound Claims 9/29/2018
Claim Timely Filing Job Aid 4/18/2016
FISS UB-04 Data Entry Payer Codes 5/16/2017
Common Claim Status/Locations 11/28/2016
FISS Reason Code Overview 4/28/2016
FISS Reason Code/Claim Driver Overview 4/28/2016
Program Function/Escape Key Crosswalk 11/28/2016
How to Adjust a Claim 9/13/2018
FISS Claim Change/Condition Reason Codes 9/13/2018
How to Cancel a Claim 9/13/2018
How to Correct a Return to Provider Claim 9/13/2018
Online System Menu Quick Reference 9/18/2018
Fiscal Intermediary Standard System/Direct Data Entry Provider Online Guide
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