HH08: Direct Data Entry & Eligibility – FISS Overview Copy
What is FISS/DDE?
Direct Data Entry (DDE)
Fiscal Intermediary Standard System (FISS)
FISS is available Monday through Friday typically between the hours of 5:00 a.m. and 8:00 p.m. CT (Central Time) and Saturday between the hours of 5:00 a.m. and 5:00 p.m. CT.
Note: Depending on the time it takes the nightly system cycle to run, FISS may not always be available at 5:00 a.m. CT. In addition, FISS system releases may affect availability over weekends. FISS is not available on Sunday or on national holidays.
Advantages of Passport DDE/FISS
USED BY ALL MEDICARE PART A PROVIDERS
WILL ALLOW YOU TO ELECTRONICALLY:
- Key and submit UB-04 claims
- Correct, adjust and cancel claims
- Access the Revenue Code, HCPCS code and ICD-10 code inquiry tables
- Access the reason code and adjustment reason code inquiry tables
- Inquire about the status of claims
- Inquire about the need to respond to an ADR
Direct Access to FISS
You must also contract with a connectivity vendor to establish direct connection to the Enterprise Data Center (EDC) for FISS access through a connectivity product. You will need to contact your connectivity vendor for any issues related to your direct connection.
Approved Network Service Vendor (NSV) List
- ABILITY Network (including IVANS)
- American Health Data Services, Inc. (AHDS)
- AXIOM Systems, Inc.
- Cortex EDI, Inc.
- Dorado Systems, Inc.
- ECC Technologies’ RAPID Network
- Episode Alert, LLC
- McKesson CareBridge
- MEDTranDirect, Inc.
- MedXpress (ICS Software)
- Nebo Systems, Inc.
- Optimum Management, Inc.
The Inquiry Menu allows you to check the status of claims, including how to check for Additional Development Requests (ADRs), claims summary, Medicare check history, Part A payment totals, view inquiry screens to check the validity of diagnosis codes, revenue codes, HCPCS codes, and review reason code narratives. The menu options shown in bold text are those that you will use most often.
About Status/Location Codes
- As billing transactions process in FISS, they move through various stages of the system. These stages are identified by status/location codes and provide information about what’s happening to the claim.
- There are six status codes that are represented in FISS by one letter (e.g., P for Paid).
- Locations further define what is happening to a billing transaction in a particular status. Locations are 5-character positions that follow the status code (e.g., P B9997; where P is the status and B9997 is the location).
Monitoring your Billing Transactions
- Check your billing transactions at least once a week
- You may need to take additional action after you have submitted them
- Some claims may be returned to the provider (RTPd) due to missing, incorrect, or incomplete information
- You will need to access your billing transactions in the Return to Provider (RTP) to make the necessary corrections.
- When a claim is corrected from the RTP file, it will receive a new receipt date.
- When you sign on to FISS, you should:
- Correct any billing transactions that are in your RTP file.
- Respond to any Additional Development Requests (ADRs).