Monitor the Fiscal Intermediary Shared System (FISS), Return To Provider (RTP) file weekly for common error codes.
Always get answers in writing and ask for a manual or contract reference.
When asking for clarifications regarding Medicare issues, reference the CMS manual section and include your interpretation.
Monitor the CMS web site for new Program Transmittals ( http://www.cms.hhs.gov/Transmittals/) and Medicare Learning Network articles:.( http://www.cms.hhs.gov/MLNMattersArticles/ )
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.
Tips & Guides
This page was last updated: June 21, 2010
Over 30 years experience with emphasis in Medicare Hospital billing and Reimbursement.
