October 2020 Quarterly Release Temporary Hold

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.

 Reason Code
 Location Status
Description
36452
 SMHOSP
Hospice
37230
 SMHOME
Home Health PPS Claims
WW999
 SMFISS
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.

Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 

Click to Chat Now