Fiscal Intermediary Standard System (FISS) Guide
Refer to the following chapters of the FISS Guide for detailed information about the Fiscal Intermediary Standard System (FISS) and the eligibility systems ELGA and ELGH.
This chapter provides an FISS overview, including information about direct access to FISS, system sign-on/sign-off procedures, menu options, function keys, shortcuts, and common status and locations.
This chapter explains how to access beneficiary eligibility information via the Common Working File (CWF) screens, ELGA and ELGH, to verify and ensure correct information is submitted on your Medicare claim. Screen examples and field definitions are provided.
Chapter Three provides information about the inquiry options available in FISS, such as checking the status of claims, including how to check for Additional Development Requests (ADRs), claims summary, Medicare check history, home health payment totals, and viewing inquiry screens to check the validity of diagnosis codes, revenue codes, and HCPCS codes.
This chapter includes instructions, screen illustrations, and field descriptions on how to enter UB-04 claim information, including home health requests for anticipated payment (RAPs), hospice notice of elections (NOEs), and roster bill data entry.
Access this chapter for instructions, screen illustrations, and field descriptions on how to correct claims that are in the Return to Provider (RTP) file, adjust claims, and cancel a claim.