Direct Data Entry

Providers are receiving reason code(s) 32212, 32213, and 32227 in the Direct Data Entry (DDE) system.

Complete and return this application for onsite DDE training. Session objectives are to help you understand how to successfully enter, adjust, and correct claims via DDE.

As a result of NPI changes installed in the April 7, 2008, system release, an issue has been identified with DDE. When viewing check data via DDE, if claims were submitted using NPI only DDE currently will not display check information via DDE.

This edition of the newsletter includes information on DDE password resets/user IDs, avoiding rejects due to new NPI requirements, removal of the UB-92 indicator from title fields, and return of outdated DDE forms.

Beginning July 1, 2007, the NUBC has restricted the use of value codes A1, A2, A7, B1, B2, B7, C1, C2 and C7 to paper claims only.

In order to maintain a secure environment in the access of provider and beneficiary information, an annual recertification process for DDE user ID's assigned to your DDE access has been implemented.

Effective January 1, 2007, Institutional Medicare providers who submit claims for their primary facility and its subparts must report a taxonomy code on all claims submitted to their FI.

As of October 2, 2006 FISS (Fiscal Intermediary Shared Systems) will implement Stage 2 requirements based on CR4023C for use and editing of the NPI number.

CMS encourages the use of the Electronic Remittance Advice transaction as mandated under the Health Insurance Portability and Accountability Act (HIPAA).

Smoking and Tobacco-Use Cessation Counseling Services: Common Working File (CWF) Inquiry for Providers

Effective January 1, 2006, system modifications have been made (based on CR 3436) to expand the rate field to 3 positions after the decimal (current structure is 2 positions).

Direct Data Entry (DDE) for the Fiscal Intermediary Standard System (FISS)