Production Alert Details

ESRD Claims Are Paying Incorrectly

Date Reported:
08/29/2023
Date Updated:
09/08/2023
Status:
Open
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

Monitor this notification for further updates.

Proposed Resolution/Fix

The FISS Maintainer has identified the problem and created a system fix. A system fix will be installed to production 9/13/2023.