January 2020 Fiscal Intermediary Standard System Direct Data Entry Screen Changes

Therapy Attachment (44) has been removed from the Claims Correction Menu (MAP1704). (Correction)

Entry added for new Bone Density HCPCS codes 0554T-0558T eligibility dates to MAP175M.

Screenshot of MAP175M

MAP1751 was modified to add a New MAP175Q to the Beneficiary/CWF Files.

(Option 01/10) - MAP175Q Radiation Oncology Model (PBRO) Auxiliary File. Displays up to ten episodes of care for a beneficiary.

Screenshot of MAP175Q

MAP175Q displays the following information from the CWF Prospective Bundle Payments for Radiation Oncology Model (PBRO) Auxiliary File for up to ten episodes of care for a beneficiary:

Professional RO Model-Specific HCPCS code
Actual SOE
Actual EOE
Professional Line Item Diagnosis Code
Rendering NPI
Professional Participant (TIN)
Facility/Technical RO Model-Specific HCPCS
Temporary SOE
Temporary EOE
Technical First Diagnosis Code or Line Item Diagnosis Code
Facility/Technical Participant (TIN or CCN)

Revised 1/2/2020
Posted 12/18/2019

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