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 on service of July 1, 2019, or later will be held in the status/location listed below and may be released before or on July 18, 2019, to continue processing.
When the release is installed, Palmetto GBA places a temporary “hold” to ensure the release is installed properly. During this time, claims with dates on service of July 1, 2019, or later will be held in the status/location listed below and may be released before or on July 18, 2019, to continue processing.
| Reason Code | Location Status | Status Description |
|---|---|---|
| 36452 | SMHOSP | Hospice |
| 37230 | SMHOME | Home Health Prospective Payment System (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 claims that have not been processed.
