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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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Posting Date: 09/10/2018
How to Correct a Return to Provider Claim
Resources How to Correct a Return to Provider Claim To correct a RTP claim on the FISS/DDE Provider Online System, follow these steps: Step Action 1 Select the CLAIMS CORRECTION (03) submenu from the MAIN MENU [...]
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Posting Date: 08/01/2023
New and Improved EDI Enrollment Process
New and Improved EDI Enrollment Process Our new online EDI Enrollment Process is available. This new process includes real time verification of data entered into many of the fields, which improves accuracy, reduces the time needed to complete [...]
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Posting Date: 08/30/2023
RC 34963 – Provider Enrollment Issue
An issue in the PECOS is causing some Part A claims to RTP in error with RC 34963.
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Posting Date: 09/19/2022
Resetting Your EDI Password
Resetting Your EDI Password EDI passwords have to be regularly changed or reset to maintain data security. You should note that passwords expire every 60 days and can be changed or reset prior to expiration. Follow these steps to reset your [...]
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