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Posting Date: 03/31/2022
Medicare Fee-for-Service Claims and the Sequestration Payment Adjustment Changes
Medicare Fee-for-Service Claims and the Sequestration Payment Adjustment Changes Just a reminder: The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare fee-for-service claims. As a result of [...]
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Posting Date: 08/10/2023
MLN Connects® Newsletter: August 10, 2023
MLN Connects® Newsletter: August 10, 2023 News Immunization: Protect Your Patients Claims, Pricers, & Codes Outpatient Rehabilitation Claims with Reason Code W7072: Do You Need to Resubmit Claims? MLN Matters® Articles HCPCS [...]
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Posting Date: 01/29/2020
Claim Summary (12)
Chapter IV: Inquiries Submenu (01) Claims Summary (12) Purpose The CLAIM SUMMARY option allows providers to access specific data from the claim record for pending and processed claims. Note: Claim Summary is an “inquiry-only” option. You [...]
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Posting Date: 01/29/2020
ZIP Code File (19)
Chapter IV: Inquiries Submenu (01) ZIP Code File (19) Purpose A ZIP Code is a five-digit numeric code used to identify a provider’s location. The ZIP CODE FILE option allows you to verify the validity of the facility ZIP Code that may be [...]
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Posting Date: 01/29/2020
OSC Repository Inquiry (1A)
Chapter IV: Inquiries Submenu (01) OSC Repository Inquiry (1A) Purpose An occurrence span code identifies a specific event that relates to the payment of the claim that spans several days. The dates identify the commencement and ending of [...]
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Posting Date: 01/30/2020
Home Health Payment Totals (67)
Chapter IV: Inquiries Submenu (01) Home Health Payment Totals (67) Purpose This option is currently unavailable. Revised 8/16/2023
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Posting Date: 01/30/2020
ANSI Reason Codes (68)
Chapter IV: Inquiries Submenu (01) ANSI Reason Codes (68) Purpose ANSI codes are used to explain the adjudication of a claim and are the CMS approved ANSI messages. ANSI reason codes and CMS message codes will appear in the body of the [...]
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Posting Date: 01/30/2020
Check History (FI)
Chapter IV: Inquiries Submenu (01) Check History (FI) Purpose The CHECK HISTORY option allows providers to view their last three Medicare checks (payments). To access the CHECK HISTORY option from the FISS Online System INQUIRIES [...]
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Posting Date: 09/25/2020
Beneficiary/CWF (10)
Chapter IV: Inquiries Submenu (01) Beneficiary/CWF (10) Purpose The purpose of the beneficiary screens is to provide access to all beneficiaries contained on the eligibility file. The provider can use this file to verify beneficiary data. [...]
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Posting Date: 08/17/2023
MLN Connects® Newsletter: August 17, 2023
MLN Connects® Newsletter: August 17, 2023 News CMS.gov Website Refresh – Test Website Available for Feedback CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in Hawaii Due to Recent Wildfires Clotting [...]
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