ClaimTimelyFilingCalc-footer

Claims for services furnished to Medicare beneficiaries must be filed to the appropriate MAC no later than one calendar year after the date the services were rendered. Revised 10/20/2021

Care Management

American Medical Association’s Behavioral Health Integration Webinar Series

American Medical Association’s Behavioral Health Integration Webinar Series National Government Services is excited to provide some additional resources on BHI from the AMA. This webinar series, titled “BHI Overcoming Obstacles”, will prepare [...]

Additional Development Requests

Three Ways to Protect Your Medicare Enrollment Information

Protect Your Identity and Privacy

Protect Your Identity and Privacy

Help Prevent Bank Account Fraud

Common Claim Status/Locations

Resources Common Claim Status/Locations Status/Location Claim Disposition P B9996 Claim waiting the payment floor hold P B9997 Processed claim – finalized location P O9998 Processed claim [...]

FISS Reason Code Overview

Resources FISS Reason Code Overview FISS reason codes are five-digit codes that direct the outcome of a claim edit or process; they are the “traffic cops” of the system. The following chart outlines the various positions of the FISS reason [...]

Program Function/Escape Key Crosswalk

Resources  Program Function/Escape Key Crosswalk Program Function Key FISS/DDE <Esc> X-Walk Function F1/PF1 Esc 1 Serves as a “Help” key. Allows you to access information contained on the [...]

Ambulance Attachment (43)

Chapter VI: Claims Correction Submenu (03) Ambulance Attachment (43) Purpose Not applicable This option is currently not utilized by National Government Services. Revised 9/18/2018

Pacemaker Attachment (42)

Chapter VI: Claims Correction Submenu (03) Pacemaker Attachment (42) Purpose Not applicable This Fiscal Intermediary Standard System (FISS)/Direct Data Entry (DDE) Provider Online System option is not utilized as Medicare no longer [...]

Home Health Attachment (45)

Chapter VI: Claims Correction Submenu (03) Home Health Attachment (45) Purpose Not applicable This Fiscal Intermediary Standard System (FISS)/Direct Data Entry (DDE) Provider Online System option is not utilized. Revised 9/9/2016

ESRD CMS-382 Form Attachment (57)

Chapter V: Claims/Attachments Submenu (02) ESRD CMS-382 Form Attachment (57) Purpose This feature allows the user the capability to enter either a new CMS-382 form or a new method selection. Note: Per CR 7064, ESRD PPS was implemented [...]

Printing FISS Screens

Chapter III: Navigating the Online System Printing FISS Screens There are two print options available in FISS that will allow you to print any screen or multiple screens. From the File menu, select Print Screen to send a single screen to [...]

Online Reports View Submenu

Chapter II: Online Menu Functions Overview Online Reports View Submenu Purpose      In the ONLINE REPORTS VIEW submenu, providers can view a variety of reports, as well as submit their quarterly Credit Balance [...]

Claims Correction Submenu

Chapter II: Online Menu Functions Overview Claims Correction Submenu Purpose The CLAIMS CORRECTION submenu is where providers correct RTP claims, adjust processed or rejected claims and cancel processed claims. This submenu also contains [...]

Accessing the Common Working File

Introduction Accessing the Common Working File Beneficiary eligibility records, which are maintained for CMS by the SSA, are stored electronically in the CWF system. You can access CWF records to view beneficiary eligibility information in [...]

Electronic Submissions

Introduction Electronic Submissions The FISS/DDE system is available through either a leased line connection or dial-up connection using a personal computer and modem. You should have knowledge of your setup since there are a [...]