ESRD Claims Are Paying Incorrectly
Date Reported:
08/29/2023
Date Updated:
09/08/2023
Date Resolved:
10/02/2023
Status:
Closed
Provider Types Impacted:
Part A ESRD Providers in Jurisdiction K and Jurisdiction 6
Reason Code(s):
N/A
Claim Coding Impact:
N/A
Description of Issue
National Government Services has been made aware of ESRD claims with HCPCS code 90999 processing at rates that are cents instead of hundreds of dollars. This is causing the claims to pay incorrectly. This issue appears to have started mid-July, 2023.
National Government Services Action
The issue has been reported to the FISS Maintainer by NGS and other MACs.
Provider Action
No provider action needed.
Proposed Resolution/Fix
The FISS Maintainer has identified the problem and created a system fix. A system fix was installed 9/13/2023.