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User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Off-line History Retrieval of Canceled Claims

The purpose of this Change Request is this UCR will modify FISS to not assign reason code 38000 when the only potentially overlapping offline claim was previously canceled. This change will improve system efficiency and reduce system resource utilization by recognizing that the canceled claim should not be considered for duplicate editing.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 19, 2022

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.