Claims Correction - CGS Medicare

Home Health & Hospice Claims Correction Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Guide Chapter 5 June 2018 CGS Table of Contents Claims Correction Menu Options .. 1 Access the Claims Correction Menu .. 1 Correcting Claims .. 2 Correcting a Medicare Number .. 10 Deleting Revenue Code Lines .. 11 Adding Revenue Code Lines .. 12 Suppress View .. 13 Adjusting Claims .. 14 Canceling a claim /RAP .. 23 Archived Claims .. 29 Note: It is the responsibility of Medicare providers to ensure the information submitted on your billing transactions (Requests for Anticipated Payment (RAPs), Notices of Election (NOEs), Claims , adjustments, and cancels) are correct, and according to Medicare regulations. CGS is required by the Centers for Medicare & Medicaid Services (CMS) to monitor claim submission errors through data analysis, and action may be taken when providers exhibit a pattern of submitting Claims inappropriately, incorrectly or erroneously.

Note: It is the responsibility of Medicare providers to ensure the information submitted on your billing transactions (Requests for Anticipated Payment (RAPs), Notices of Election (NOEs), claims, adjustments, and cancels) are correct, and according to

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