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Corporate

June 18, 2020

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

The July 2020 quarterly system release, which will be implemented on July 6, 2020, includes changes to the following FISS DDE screen. The Chapter Three: Inquiry Menu and the Chapter 4: Claims and Attachments Menu of the Part A DDE User Manual/Reference Guide and the home health and hospice FISS DDE Guide have been updated to reflect these changes. Please review the following information and share with your appropriate staff.

MAP171E

The MAP171E screen is accessed from the claim Page 02 when you press F11. The new field LLO NPI identifies the line level ordering National Provider Identifier (NPI). This is used on institutional outpatient claims with advanced diagnostic imaging services subject to the Appropriate Use Criteria (AUC). Review SE20002External PDF for additional information.

Screenshot

MAP171G (New Home Health Screen)

Home health providers can now view OASIS items used to determine the PDGM payment group on MAP 171G. Access this screen by going to Claim Page 03 and press F11 until MAP 171G displays.

There are 8 OASIS items that will be sent back to the claims system and displayed in the OA (OASIS Assessment) field. The OA field information will never be changed. The MR (Medical Review) field will be used by the CGS Medical Review staff to enter corrections when, based on their review of the full medical record, they find OASIS data is not supported.

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Access Chapter 3 of the FISS DDE Guide to review the MAP171G field description.

MAP1716

Claim Page 06 (MAP1716) has been updated to include the new field IOCE CLM PR FL. This identifies the Integrated Outpatient Code Editor Claim Processed Flag.

Screenshot

Access the following FISS DDE chapters for more details and field descriptions.

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