Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2020 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Published Date:09/21/2020
Printed Date: 9/22/2015
URL: http://palmgba.com/marlowe/redesign6/article.html
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.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 09/21/2020