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Printed Date: 9/22/2015
Each quarter, the Fiscal Intermediary Shared System (FISS) is updated to include new logic for claims processing, pricing, etc.
When the release is installed, Palmetto GBA places a temporary 'hold' to ensure the release is installed properly. During this time, claims with dates of service of October 1, 2020, or later will be held in the status/location listed below and may be released before or on October 14, 2020, to continue processing.
Home Health PPS Claims
Holds All Claims
This process does not apply to home health requests for accelerated payments (RAPs) or hospice notices of election (NOEs).
Providers should be reminded that Medicare claims processed by the 30th day from claim receipt are considered timely. Beginning on the 31st day from receipt, interest will be applied to clean claims that have not been processed. A 'clean' claim is one that does not require the carrier or FI to investigate or develop external to their Medicare operation on a prepayment basis.
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Last Updated: 09/21/2020