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Fiscal Intermediary Standard System Direct Data Entry Screen Changes – October 2023

The October 2023 quarterly system release was implemented on 10/2/2023 and includes the FISS DDE screen changes identified below.

  • CMS issued CR 13138 which instructed contractors to expand:
  • The display screen dimension size to accommodate expanded monetary amount fields related to billing and payment
  • Monetary amount fields to display and allow provider entry of a dollar amount up to 10 digits ($99,999,999.99) or 11 digits for the total charges fields and Revenue Code 0001 line

Note: As a result of this expansion,

  • National Government Services is instructing all DDE users to ensure that your DDE screen size is adjusted to 43x80 so you can continue to review and enter claims effectively.
  • Providers may need to work with your software vendor/system maintainer to make any update needed to accommodate the new screen size requirement.
  • Providers will need to review any screen scraping programs they have to determine any updates needed to accommodate the new screen size requirements.

MAP1741 – Claim Summary Inquiry (Option 12)

The TOT CHG (total charges) field will expand to accommodate 11 digits.

MAP1741 – Claim Summary Inquiry (Option 12)

MAP1712 – Claim Page 02 (Inquiries and Claims/Attachments)

These fields will expand to accommodate:

  • 10 digits – TOT UNITS (total units) and COV UNITS (covered units)
  • 11 digits – TOT CHARGE (total charges) and NCOV CHARG (non-covered charges)
  • 13 digits – SERV RATE (service rate)

MAP1712 – Claim Page 02 (Inquiries and Claims/Attachments)

MAP171A – Claim Page 02 (Inquiries and Claims/Attachments)

These fields will expand to accommodate:

  • 10 digits – TOT UNT (total units) and COV UNT (covered units)
  • 11 digits – TOT CHRG (total charges), PAID (patient paid), SERV RATE (service rate), LABOR (labor amount), and NON-LABOR (non-labor amount)

The screen will also expand to display 25 lines instead of 24.

MAP171D – Claim Page 02 (Inquiries and Claims/Attachments)

These fields will expand to accommodate:

  • 10 digits – COV UNT (covered units), NON COV UNT (non-covered units), and total non-covered units (0001 Revenue Code line)
  • 11 digits – COV CHRG (covered charges), NON COV CHRG (non-covered charges), and total non-covered charges (0001 Revenue Code line)

MAP171D – Claim Page 02 (Inquiries and Claims/Attachments)

MAP1713 – Claim Page 03 (Inquiries and Claims/Attachments)

These fields will expand to accommodate 11 digits: EST AMT DUE (estimated amount due) and DUE FROM PATIENT.

MAP1713 – Claim Page 03 (Inquiries and Claims/Attachments)

MAP1719 – Claim Page 03 (Inquiries and Claims/Attachments)

The monetary amount fields will accommodate 10 digits.

MAP1719 – Claim Page 03 (Inquiries and Claims/Attachments)

MAP1716 – Claim Page 06 (Inquiries and Claims/Attachments)

These fields will expand to accommodate:

  • 9 digits – COIN (coinsurance)
  • 11 digits – PAID BY PATIENT, GRH ORIG REIMB AMT, and TECH PROV CHARGES

In addition, a separate CR instructed FISS to remove the HCPC Codes inquiry screens (Option 14). The New HCPC Screen inquiry (Option 1E) is still available.

MAP1716 – Claim Page 06 (Inquiries and Claims/Attachments)

MAP1702 – Inquiry Menu

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Posted 10/3/2023