Wednesday, February 25, 2015

Medicare Part A News-Jurisdiction H for February 24th, 2015

The following information is provided by Novitas Solutions.


Open Claim Issues for Medicare Part A

Reason code 36616 is assigning on ESRD claims and suspending to status location SMRATE. It appears the cause is due to incorrect CBSAs (Core-Based Statistical Areas) assigned to some ESRD facilities. FISS (Fiscal Intermediary Shared System) installed a correction to add the correct CBSAs. Some of the affected claims were released today as a test to ensure the new CBSAs corrected the problem. Once this is confirmed, the remaining claims will be released.


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