3/16/23 |
Long Term Care Hospitals (LTCH) |
Inpatient |
37022 37023 37027 |
An issue has been identified with part of the Fiscal Intermediary Shared System (FISS) internal processing program to calculate days. This is causing LTCH inpatient claims to incorrectly receive the reason codes 37022, 37023 or 37027. |
The impacted claims are being held in status location S MQ247. A correction has been developed by FISS and is scheduled to be installed on April 3, 2023. No provider action is needed. Claims will be released for processing when the correction is installed. Update 3/28/23: The correction was installed on March 27, 2023. All claims that were held have been released for processing. |
Closed |
2/27/23 |
Inpatient |
Low-Volume Hospital Payment Adjustment and the Medicare Dependent Hospital (MDH) Program |
N/A |
CMS issued change request 13103, instructing Medicare Contractors to update the Provider Specific File (PSF) for certain hosptials impacted by the low-volume hospital payment adjustment policy or the MDH program. |
The updates to the impacted provider files will be completed by March 10, 2023. The claims will be identified and automatically reprocessed within 75 days. No provider action is necessary. |
Closed |
12/08/2011 |
All |
Various |
Various |
Claims Suspending in various SMQXXX locations. |
Claims suspend to these locations for various issues under investigation. As issues are resolved, the claims will be processed. No provider action required. |
Ongoing |
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