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Announcement: Home Health Claims Matching

Apr 24, 2016

Follow this link for important information from the Medicare Learning Network (MedLearn) regarding the OASIS claims matching system: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE17009.pdf.

This article details how the Fiscal Intermediary Shared System (FISS) interacts with the Health Insurance Prospective Payment System (HIPPS) to validate claims prior to reimbursement. The article covers possible outcomes, including what items need to match and why claims are returned with Reason Code 37071.

Last Modified on 7/23/2018