Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Allow Override for Reason Code 31407
The purpose of this Change Request (CR) is to modify the FISS reason code file to give the Medicare Administrative Contractors (MACs) the capability to override reason code 31407 on claim page 9. The MACs currently follow workaround instructions that require them to disable reason code 31407, release the claims and turn the reason code back on. This change request (CR) will eliminate the manual intervention required to finalize claims when reason code 31407 assigns incorrectly.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 02, 2025
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