| Description of Problem |
What This Means to You |
Current Status of Problem |
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Facility Type Impacted: All Part A Providers Related Change Request (CR):
Date Resolved: |
| National Government Services has determined that some providers received duplicate electronic remittance statement files dated March 19, 2008 via the normal file delivery process. |
National Government Services is advising providers to make sure that the information on the duplicate remittance statement file does not get posted twice. This does NOT impact any Part A provider/submitter who has migrated to the NGS Gateway (M2). |
03/24/08 -
The file was successfully received (3/18/08 remittance data) and processed on Saturday 3/22/08. FTP Receivers can pick up their files under the following named dataset names. It contains the Saturday date, 3/22: FT*.EMC.D0692.RMTA.X2080322
03/20/08 - Alert Issued
03/20/08 - Alert Issued
03/20/08 - The problem was identified and is being researched.
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Facility Type Impacted: All Part A Providers Related Change Request (CR):
Date Resolved: |
| Providers may have had limited or no access to the online Credit Balance Report Form CMS-838. |
Providers may not have been able to successfully access the Credit Balance Report Form CMS-838 until January 17, 2008.
As a reminder:
To access the Credit Balance Report Form CMS-838, logon to FISS/DDE. Type NCBE and press enter. To access the Credit Balance Summary, logon to FISS/DDE. Type NCBU and press enter.
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01/18/08 -
Access to the Credit Balance Report Form CMS-838 is available as of January 17, 2008.
01/18/08 - Alert Issued
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Facility Type Impacted: All Part A Providers Related Change Request (CR):
Date Resolved: |
| Due to processing problems over the New Year holiday, the Medicare Part A 835 electronic remittance with payment date 01/02/08 was delayed in being delivered to the electronic receivers.
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Providers received their 835 electronic remittance for pay date 01/02/08 later than scheduled. |
01/07/08 -
This issue has been resolved. Remits were made available to users at 10:34 a.m. EST on Monday, 01/07/08. FTP users will see the following under their directories: FT*.EMC.D0692.RMTA.X2080107
01/07/08 - Alert Issued
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Facility Type Impacted: All Part A Providers Related Change Request (CR):
Date Resolved: |
| National Government Services Part A transitioned to the Companion Data Services (CDS) Enterprise Data Center (EDC) on December 17, 2007. In preparation for this transition, December 14-15 were dark days, and the system should not have been accessed. If any claims were entered and/or updated in DDE on December 15, 2007, these claims were not submitted in the correct region for processing. |
If you entered or updated claims in DDE on December 15, you will need to re-enter/update those claims in order for them to be processed. |
12/20/07 -
Transition to the new EDC is complete. Any transactions done in the old system on December 15 will need to be re-entered by providers.
12/20/07 - Alert Issued
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Facility Type Impacted: All Part A Providers Related Change Request (CR):
Date Resolved: |
| National Government Services, Inc. was alerted that some Medicare Advantage (MA) plan outpatient claims that were incorrectly submitted to Fee-for-Service (FFS) Medicare, were processed and paid by our processing system, instead of being rejected for MA coverage. This problem occurred in August 2007.
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As of November 2007, the problem has been corrected. On November 28, 2007, National Government Services began to cancel claims that were incorrectly reimbursed to providers.
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12/06/07 -
'Providers will be able to identify these cancelled claims, using the Document Control Number (DCN) that ends with a letter "K." The DCNs can be found on the provider's remittance statement or by going into the claim, via the claim inquiry menu option 12 in the Fiscal Intermediary Standard System (FISS). No action is required by the provider. '
12/06/07 - Alert Issued
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Facility Type Impacted: All Part A Providers Related Change Request (CR): CR4047
Date Resolved: |
| Some outpatient claims for services rendered at Critical Access Hospitals (CAH) are being rejected inappropriately with reason code 38105. Change request (CR) 4047 instructs outpatient facilities, including CAHs, to bill repetitive and non-repetitive services on separate bills. |
When CAHs bill repetitive and non-repetitive services on separate claims, the second claim is being rejected with reason code 38105. Effective August 29, 2006, Empire Medicare Services will manually review CAH claims that received reason code 38105 to prevent them from rejecting inappropriately. Critical Access Hospitals may resubmit claims that were inappropriately rejected with reason code 38105. |
01/18/07 -
As of 1/18/2007 there are no new updates concerning this issue.
01/18/07 - This problem has been reported to the standard system maintainer; however, we do not know when this problem will be corrected. Claims inappropriately receiving reason code 38105 will suspend in status location SMTECA, to be manually reviewed for processing.
08/30/06 - Alert Issued
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