- Section 1 Introduction
- Introduction
- Federal Government Administration
- Fundamentals of Medicare: State Responsibilities
- Fundamentals of Medicare: Participating Providers
- Voluntary and Involuntary Termination of Provider Agreement
- Disclosure of Health Insurance Information
- Privacy Act
- National Provider Identifier
- Legacy Provider Numbers/Provider Transaction Access Numbers (PTANs)
- Medicare Administrative Contractors
- Fundamentals of Medicare: Information References
- Acronyms
- Fundamentals of Medicare: Glossary of Terms
- Section 2 Medicare Basics
- The History of Medicare
- What Is the Medicare Program and How Is It Funded?
- Medicare Eligibility and Premiums
- The Social Security Administration and Medicare Enrollment
- The Medicare Card
- Medicare Part A
- Inpatient Hospital Care
- Skilled Nursing Facility Inpatient Care
- Home Health Care Benefit
- The Hospice Benefit
- Medicare Part B Medical Insurance
- Fundamentals of Medicare - Medicare Program Exclusions
- Medicare Advantage Organizations
- Medicare Secondary Payer
- Supplemental Insurance
- Coordination of Benefits Trading Partners
- Section 3 Fraud and Abuse
- Section 4 Getting Ready to Bill Medicare
Section 4: Getting Ready to Bill Medicare
Fiscal Intermediary Standard System
National Government Services utilizes FISS to process claims and maintain Medicare beneficiary information. Providers have access to this information through a secure online computer system connection with their A/B MAC.
Throughout this guide, we have provided information covering a variety of topics including Medicare eligibility, deductibles, coinsurance, HMO, MSP, etc. Although this guide has provided various options and contacts for finding this information, it is most important that providers use the FISS DDE Provider Online System to locate this information for each patient.
Each provider should have a copy of the FISS DDE Provider Online System Manual issued by National Government Services. The introduction to this training guide states:
"The FISS Online User Manual was prepared to assist the user in logging onto the interactive FISS DDE system FISS DDE offers access to the FISS DDE online system, which features claim entry, claim correction and inquiry regarding revenue codes, HCPCS codes, FISS reason codes, beneficiary eligibility, DRG Grouper/PRICER, online reports, and other items."
Revised 1/2021