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Posting Date: 03/23/2020
New HCPCS Screen (1E)
Chapter IV: Inquiries Submenu (01) New HCPCS Screen (1E) Purpose The purpose of the New HCPCS Screen (1E) is to provide information related to HCPCS pricing and allowable revenue codes related to HCPCS. HCPCS codes are five-digit [...]
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Posting Date: 05/23/2023
New Fiscal Intermediary Shared System Consistency Edit to Validate Attending Physician National Provider Identifier
New Fiscal Intermediary Shared System Consistency Edit to Validate Attending Physician National Provider Identifier Effective 5/16/2023, CMS implemented a new FISS consistency edit to validate the attending provider NPI. The attending provider [...]
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Posting Date: 08/28/2023
Part B Mass Adjustments Resulting in Overpayments
Part B Mass Adjustments Resulting in Overpayments In May 2023, the OIG released the final report titled “Medicare Paid Millions More for Physician Services at Higher Nonfacility Rates Rather Than at Lower Facility Rates While Enrollees Were [...]
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Posting Date: 08/29/2023
October 2023 Release "Dark Days" for the Common Working File Hosts
October 2023 Release "Dark Days" for the Common Working File Hosts For the upcoming October 2023 Release: For Production, CWF will be observing the Gray Day on Thursday, 9/28/2023 and Dark Days starting Friday, 9/29/2023 through Sunday, [...]
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Posting Date: 03/23/2020
Opioid Use Disorder (OUD) Demo 99 (1F)
Chapter IV: Inquiries Submenu (01) Opioid Use Disorder (OUD) Demo 99 (1F) Purpose The purpose of the OUD DEMO option is to provide claim information such as CAP (maximum number of claims that can be billed by the provider with HCPCS G2172), [...]
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Posting Date: 09/05/2018
Roster Bill Entry (87)
Chapter V: Claims/Attachments Submenu (02) Roster Bill Entry (87) Purpose Roster billing is a streamlined process for submitting Medicare claims for a large group of beneficiaries for influenza virus or pneumococcal vaccinations. Up [...]
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Posting Date: 11/18/2011
Summary of Reports (R1)
Chapter VII: Online Reports View Submenu (04) Summary of Reports (R1) Purpose This option allows the provider to review a list of all reports currently available to view online. Additionally, the provider will be able to view the data [...]
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Posting Date: 11/18/2011
FISS Reason Code/Claim Driver Overview
Resources FISS Reason Code/Claim Driver Overview The following chart outlines the association between the FISS claim drivers and the reason code ranges. Driver # Driver Definition Reason Code Range(s) 04 UB-04 [...]
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