Skip to Main Content

Print | Bookmark | Email | Font Size: + |

June 22, 2021

Updated Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Screen and User Manual Changes

The July 2021 quarterly system release, which will be implemented on July 6, 2021, includes changes to the FISS DDE screens identified below.

In addition, the FISS DDE User Manual has been re-designed to make all information more accessible without having to navigate to different documents.  Just click on a link to a Chapter to display additional information.

Inquiry Menu (Map 1702)
The Inquiry Menu will be updated by adding menu selection 1F OUD DEMO 99, which includes Opioid Use Disorder (OUD) Model Provider CAP information.  When selecting 1F from the Inquiry Menu screen, Map 1E91 displays.

screen shot

Enter your Medicare Certification Number (also referred to as Medicare provider number or Provider Transaction Access Number (PTAN) in the CCN field, and your National Provider Identifier in the NPI field.  Press the Enter key to display the following information.

EFF DATE

Effective date

TERM DATE

Termination date

PROVIDER TYPE

Provider type.  Possible values:
N = 1 – 9, where:
1 = Physician
2 = Group Practice
3 = Hospital Outpatient Department
4 = Federally Qualified Health Center
5 = Rural Health Clinic
6 = Community Mental Health Center
7 = Certified Community Behavioral Health Clinic
8 = Opioid Treatment Program
9 = Critical Access Hospital

CAP YEAR

CAP year

CAP LIMIT USED

Current number of claims billing HCPC G2172 for that provider in that CAP year

CAP LIMIT MAX

Maximum number of claims billing HCPC G2172 that can be billed for that provider in that CAP year

AMT PAID

Total amount paid for HCPC G2172

CLMS

Total claims paid for HCPC G217.

COST SHR AMT

Total cost sharing amount for HCPCS G2067 – G2080

CLMS

Total claims paid for HCPCS G2067 – G2080

COST SHR AMT

Total cost sharing amount for HCPCS G2068 – G2088

CLMS

Total claims paid for HCPCS G2068 – G2088

Map 1882 – ANSI Related Reason Codes Inquiry

The ANSI Related Reason Codes Inquiry screen (Map 1882) will be updated to add the new field CWF NCD IND.  Map 1882 is accessible by pressing the F8 key from the Reason Codes Inquiry screen, Inquiry option 17. The CWF NCD IND field will identify if the reason code is associated with a Common Working File (CWF) National Coverage Determination (NCD) reason code. This field will be populated with a Y (yes) or N (no).  

screen shot

Please share this information with your appropriate staff.

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved