Update Fiscal Intermediary Standard System (FISS) to Deactivate Billing Numbers for Non-Frequent Billers
Change Requests (CRs) 5296 and 5676 established the criteria and
procedures for deactivating billing numbers for providers/suppliers in the Multi-Carrier System (MCS) that
had not billed the Medicare program for 1 year. To accomplish this, MCS established procedures for
identifying quarterly billing numbers that had not been used for the previous 4 quarters. Those numbers
were then deactivated in MCS utilizing Action Reason Code 72. This CR will require FISS to develop a
new Reason Code to flag non-billing PTANS. In addition, this CR provides a requirement that FISS provide
a quarterly extract report to the Provider Enrollment, Chain and Ownership System (PECOS) for all billing
numbers that are deactivated. This extract report will be used to automatically update PECOS with the
deactivated PTAN information which will allow PECOS and FISS to remain in sync.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 07, 2009
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.