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MIR-2006-7A, July 2006
Roster Billing Change for FISS DDE Users – July 2006 Release
Effective July 3, 2006, the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Roster Bill Entry screen is being updated for inpatient Part B services. The Roster Bill Entry (selection 87) can be accessed from the FISS/DDE Claims/Attachment (selection 02).
The discharge date is no longer required for inpatient Part B (bill types 12X and 22X) roster claims. However, providers must continue to enter the following data elements that were required on inpatient Part B roster bills effective October 1, 2005:
- Admission date
- Admission type
- Admission diagnosis
- Patient status code
- Admission source code
Revisions were made to the Medicare Part A Institutional Electronic Data Interchange (IEDI) Fiscal Intermediary Standard System (FISS) training guide located on the Empire Medicare Services Web site. To display the EDI FISS Reference Guide:
- From the www.empiremedicare.com homepage, select “Access Training Materials” under “What do you want to do?” in the left-hand menu, or the task drop-down at the top of the page.
- Select Part A: NY, CT, DE, MA.
- Click on the Medicare Part A Training Guides link.
- Click on the Medicare Part A – Institutional EDI Fiscal Intermediary Standard System (FISS) link.
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M E D I C A R E A O N L I N E S Y S T E M |
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| VACCINE ROSTER FOR MASS IMMUNIZERS |
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| RECEIPT DATE: 061306 |
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| PROVIDER NUMBER: 999999 |
DATE OF SERV: TYPE-OF-BILL: |
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| REVENUE CODE |
HCPC |
CHARGES PER BENEFICIARY |
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PATIENT INFORMATION |
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| HIC NUMBER LAST NAME FIRST NAME INIT BIRTH DATE SEX |
| ADMIT DATE |
ADMIT TYPE |
ADMIT DIAG |
PAT STATUS |
ADMIT SRCE |
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PLEASE ENTER DATA - OR PRESS PF3 TO EXIT
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