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June 30, 2025

FISS DDE Screen Changes – July 2025

The July 2025 quarterly system release, scheduled for production on July 7, 2025, includes the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) screen changes below.

Please share this information with appropriate staff.

Eligibility Detail Inquiry (MAP175J & MAP175M)

To access these screens:

  • Select '01' (Inquiries).
  • Select '10' (Beneficiary/CWF).
  • Key the beneficiary's:
    • Medicare ID number (MID)
    • Last name (LN)
    • First name (FN)
    • Sex (SEX)
    • Date of birth (DOB)
    • Date(s) of service (ELIG FROM and ELIG THRU).
  • Press Enter.
  • Press F8 to navigate to MAP175J; press F6 to MAP175M.

Description:

  • When the beneficiary's sex is 'M' (male), zeroes will display in the next eligible date (TECH D and PROF D) fields for:
    • MAMM (mammography)
    • PAPT and PAPT/Q0091 (screening Pap smear)
    • PCBE/G0101 (pelvic exam)
    • HPVS/G0476 (human papillomavirus)
  • When the beneficiary's sex is 'F' (female), zeroes will display in the next eligible date (TECH D and PROF D) fields for:
    • PROS/G0102 and PROS/G0103 (prostate cancer)

      FISS DDE Screen Changes

Provider Practice Address Query (MAP1AB2)

To access this screen:

  • Select ‘01’ (Inquiries).
  • Select ‘1D’ (PROV PRACTICE ADDR QUER)
  • Key your NPI or PTAN (OSCAR); press Enter.
  • Select an address (i.e., key ‘S’ in the SEL field; press Enter.).

Description:

Two new fields will display. A valid value from PECOS will populate, if applicable:

  • PECOS REC TYPE
    • H = HHA branch
    • O = Other practice
    • T = OPT extension site
    • Y = PECOS Outpatient Provider-Based Department Site (POPBDS)
  • PECOS PBD
    • 0 = Off-campus of the main provider (doesn’t satisfy the definition of “campus” at 42 CFR 413.65(a)(2))
    • 1 = On the “campus” of the main provider (as defined at 42 CFR 413.65(a)(2))
    • 3 = Dedicated Emergency Department (ED) (as described at 42 CFR 489.24(b))
    • 4 = Excepted off-campus temporarily or permanently because of a relocation due to extraordinary circumstances outside of the hospital’s control (as defined at 42 CFR 419.48(b))
    • 5 = Non-OPPS PBD
    • 6 = Mobile facility or portable unit
    • 7 = Excepted off-campus (as defined at 42 CFR 419.48(b))
    • 8 = Approved mid-build
    • 9 = Other PBD

      FISS DDE Screen Changes

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