The following information is provided by Novitas Solutions.
Claim Issues - Part A
Update to issues related to ESRD (End Stage Renal Dialysis) Facilities concerning overpayment-
The claims have been mass adjusted. Please remember that through the mass adjustment process, there could be claims adjusted that were paid correctly. If that happens, the reimbursement would remain the same.
Update to issues related to MSP (Medicare Secondary Payer) claims -
The correction was installed on 2/23/15; however, we are still experiencing the same problems. FISS has been contacted and research continues.
Until this is resolved, claims with U6805 or U6825 are being held in SMQ163; claims with 31941, 31942, 31943, 4R005, 4R002, U6802, U6822, 3SP22, 3SP46, 3SP56, U6801, U6821 are being held in SMQ167.
March Educational Events Calendar Update
The following educational event has been added to the March Events Calendar:
Understanding the Enrollment of Clinics/Group Practices and Certain Other Suppliers (CMS-855B and CMS-855R)
