Thursday, October 23, 2014

Medicare Part A News- Jurisdiction H for October 21st, 2014

The following information is provided by Novitas Solutions.

System Alert
Issued 10/21/2014 at 8:40 AM

IPPS Pricer Issue causing inpatient claims to suspend
An issue has been identified with the 2015 Inpatient Prospective Payment System (IPPS) Pricer causing inpatient claims with discharge date 10/01/14 and greater to receive Pricer Return Code (RTC) 65 and assigning reason code 37015 or RTC 52 and assigning reason code 37001. The claims are suspending to status locations SMPROV and SMPROZ.

The FISS notified CMS of the issue and they are awaiting an updated IPPS Pricer.


Medicare News

Phase 3 Revalidation (requests dated after September 20, 2013) Mailing Address:

Novitas JH Provider Enrollment
P.O. Box 44137
Jacksonville, FL 32231

Note that although Internet-based PECOS instructs providers to send hardcopy certification statements/supporting documentation to a specific Novitas address, please mail all Phase 3 revalidation documents to the address immediately above.