- Monitor the Fiscal Intermediary Shared System (FISS), Return To Provider (RTP) file weekly
for common error codes.
- Montior the Fiscal Intermediary Shared System (FISS), Claims Summary Screen daily. This provides information on claims that have been filed, but not processed on paid on a Remittance Advice.
This is a great tool for PFS managers. The number of claims on the payment floor, in suspense, in medical review status (ADR) and RTP will show on this screen. Specific claim information can be veiwed in Claims Inquiry, by entering the status location (P B9996- will display claims on the payment
floor.
- Always get answers in writing and ask for a manual or contract reference.
- When asking for clarifications regarding Medicare issues, reference theCMS manual section and include your interpretation.
- Bookmark the CMS Hospital Website: http://www.cms.gov/center/hospital.asp
- Monitor the CMS web site for :
- Education is the key to a sucessful patient accounts department. Monitor your MAC website for training opportunities and training material. Join ListServes provided by your MAC and CMS. Get familar with payer websites and the tools available. Arrange or provide training specific to payers.
- Never allow billers to change HCPCS or revenue codes without a supervisor or manager approval. Problems in these areas are likely related to a chargemaster or claim editor problem.
Changing this can lead Medicare cost report problems.
