Access to the FISS system allows customers to perform multiple billing functions such as keying claims via Direct Data Entry (DDE), checking claim status, performing claim corrections, and much more. Each user who registers for access will receive their own unique logon ID (RacfID), which should not be shared with anyone for security reasons. Please complete the steps below to successfully register for access to the FISS system.
Please note: Per direction from the Centers for Medicare & Medicaid Services (CMS), effective August 1, 2019, eligibility must be obtained through the HIPAA Eligibility Transaction System (HETS). There are two ways to register for HETS access. Users may enroll to submit and retrieve the HIPPA compliant 270/271 transactions directly on the CMS HETS webpage or enroll for access to Novitasphere Portal, our free secure internet portal.
In March of 2020, the Centers for Medicare & Medicaid Services (CMS) and Novitas Solutions had suspended the annual recertification of Fiscal Intermediary Shared System (FISS) Direct Data Entry (DDE) users due to the COVID-19 pandemic. Please be advised that beginning in January 2022, Novitas Solutions will reinstate the Annual Recertification process and will begin mailing letters to Part A providers who have active FISS/DDE user(s).
The annual recertification letters will include a list of the user(s) associate with the Part A facility’s Provider Transaction Access Number (PTAN), and instructions for completing the recertification. The authorized or delegated official listed on the provider’s CMS 855A enrollment record must recertify each of the individual user(s) within 30 days of the date of the letter.
All completed recertification letters must be returned to the Novitas EDI Services via fax at 1-877-439-5479. Failure to recertify by the due date will result in the user(s) losing their FISS access to that facility’s PTAN.
If you have any questions, please contact our EDI helpdesk at 1-855-252-8782(JH) or 1-877-235-8073(JL).
Novitasphere offers Part A users a fast and easy way to access a number of time-saving features including eligibility information and the ability to look up the new MBI numbers for their patients via the MBI Lookup Tool! Now, Part A portal users also have the ability to check Claim Status in the portal! The feature provides details such as billed and paid amounts, check number, status and finalized date, as well as patient claim information and line item details. Also, users have the capability to save or print claim status information via a “PDF” icon.
To learn more about Novitasphere, please join us for our Novitasphere Part A Overview Webinar. This webinar reviews all features within Novitasphere, and offers a Question and Answer session at the conclusion of each presentation. Please visit the Educational Events page of our website for dates and times, and to register for an event.
To find more information about Novitasphere, including how to enroll, or reference materials, please visit the Novitasphere Center.
All customers who are requesting a FISS RacfID must be enrolled for electronic billing. If not already enrolled, complete an EDI enrollment form prior to completing the FISS application. Once the EDI enrollment form is processed, you will receive a letter confirming your enrollment. At that time, you can complete the FISS application for access.
FISS requires a secure telecommunication connection from your facility. This connection is received by contracting with one of the secure DDE Vendors. Contact a vendor prior to completing the FISS application.
Novitas Solutions must supply you with a unique RacfID in order to access the FISS system. Please allow 20 business days before contacting the Novitas Customer Contact Center on the status of your application. Please ensure that you are completing your FISS application accurately and in its entirety to avoid a return. Please refrain from sending duplicate requests, as it results in increased processing time for valid requests.
New and existing users should complete the FISS Enrollment Application. All FISS RacfID users agree to the following terms and conditions at the time your application is submitted:
That the user has read and completed the application in accordance to CMS Security policy.
That the user understands the responsibility to protect and maintain the confidentiality of the data.
That the user also understands that if the Medicare data obtained from the FISS is mishandled in any way, the user will be held responsible in accordance with Medicare requirements.
That the user agrees that Novitas Solutions can add my email address indicated above to the general email list to receive electronic notifications.
That the user understands that if I do not wish to receive email notifications, I can unsubscribe at any time on the Novitas Solutions website.
That the user agrees that this unique ID will not be used by anyone other than the person to whom it is assigned and that I may be held legally responsible for any disclosure of the ID.
That the user agrees that this unique ID will not be shared with anyone including coworkers, supervisors, DDE Third Parties, or Network Connectivity vendors.
That the user agrees that this unique ID will not be stored or used in any type of scripting or software that uses automation to generate FISS transactions.
After thoroughly reviewing the requirements above, complete the FISS Enrollment Application. This application should be used to submit the following requests:
New users requesting a RacfID
Reinstate a RacfID that has been deactivated for inactivity
Add PTANs to existing access
Other updates such as name, PIN, or email address changes
Please review Common FISS Form Errors That May Cause Your Form to be Returned to ensure the application is completed correctly.
Request status of your FISS Application here.
The Centers for Medicare & Medicaid Services (CMS) requires annual recertification of every user that has access to the FISS system. Click here for more information.
Users who sign on to DDE through Companion Data Services (CDS) can reset their own passwords. Please note that you can only use the automated password reset option once in a 24 hour period.