Wednesday, February 18, 2015

MLN Matters Article for Billing Staff

Holly Harmon

MLN Matters article “Continuation of Systemic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments” was recently released. It applies to Skilled Nursing Facilities submitting claims to Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries. It informs MACs about the changes needed to implement the Fiscal Intermediary Standard System (FISS) changes required to refine the interface between FISS and the Quality Improvement and Evaluation Service.

These changes include new fields to house an Assessment Identification Number (AIN) for each Health Insurance Prospective Payment System (HIPPS) Revenue Code line on submitted claims. It is important that billing staff are aware of these changes. Click here to access the MLN Matters article which has a July 1, 2015 effective date.

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