Update 24D-5exhb-A with new section RAT0330 111912 Create New Report IDs & FCOS AMENDED 0828/2013 24.5.6.2 Miscellaneous Reports Exhibit and associated table Added New Exhibit 24.5.6.2 RAT0330 111912 Create New Report IDs & FCOS AMENDED 01/26/2013 Miscellaneous Reports Exhibit Create a total of seven new reports as outlined in the matrix attached to the amendment to memo 111912 (most recent version entitled: New “Create Report IDs & FCOS Amended 062812”). RAT0330 111912 Create New Report IDs & FCOS AMENDED 01/26/2013 64.9A BASE Summary 64.10 BASE Summary 64.9C2 64.9C1 64.S9 RAC 64.9A CMS21 Base Modify description of provider type 343 to methadone clinic and assign RAT0468 120533 Modify CMS64 for Redefined Provider Type 8/2/2012 to FCOS 10. Add provider type 342 to FCOS 49. Remove presumptive eligible kids (cost center 86771) from the CMS 64 base report. Route cost Report Presumptive Eligible Children on CMS 64.21 RAT0469 120534 7/5/2012 center 86771 to CMS 64 SCHP report. instead of CMS 64.9 After assigning FCOS, change cost center 86771 claims to CMS report id '6421'. The DW fedcms64 table was loaded Reprocess rejected or bypassed claims back with 4,972 7-Prior Period ‘Line RAT0250 N/A 6/11/2012 through the download program Expenditures, Not Previously Reported’ records on 6/11/2012. Check the sign of the CMS64 reimbursement determine whether a NMMJCX64 assigns incorrect prior period RAT0461 N/A 5/10/2012 positive adjustment or negative to encounters adjustment report type code needs to be assigned for prior period. Bypass audit related financial reason Remove Audit related Financial Reason Codes from RAT0389 120289 4/6/2012 codes and claim adjustment reason CMS64 Base codes. Also remove TPL report logic.
RAT0330 111912 Create New Report IDs & FCOS AMENDED 0828/2013 Update 24D-5exhb-A with new section 24.5.6.2 Miscellaneous Reports Exhibit and associated table RAT0330 111912 Create New Report IDs & FCOS AMENDED 01/26/2013 Added New Exhibit 24.5.6.2 Miscellaneous Reports Exhibit RAT0330 111912 Create New Report IDs & FCOS AMENDED 01/26/2013 Create a total of seven new reports as outlined in the matrix attached to the amendment to memo 111912 (most recent version entitled: “Create New Report IDs & FCOS Amended 062812”). 64.9A BASE Summary 64.10 BASE Summary 64.9C2 64.9C1 64.S9 RAC 64.9A CMS21 Base RAT0468 120533 Modify CMS64 for Redefined Provider Type 8/2/2012 Modify description of provider type 343 to methadone clinic and assign to FCOS 10. Add provider type 342 to FCOS 49. RAT0469 120534 Report Presumptive Eligible Children on CMS 64.21 instead of CMS 64.9 7/5/2012 Remove presumptive eligible kids (cost center 86771) from the CMS 64 base report. Route cost center 86771 to CMS 64 SCHP report. After assigning FCOS, change cost center 86771 claims to CMS report id '6421'. RAT0250 N/A Reprocess rejected or bypassed claims back through the download program 6/11/2012 The DW fedcms64 table was loaded with 4,972 ‘Line 7-Prior Period Expenditures, Not Previously Reported’ records on 6/11/2012. RAT0461 N/A NMMJCX64 assigns incorrect prior period to encounters 5/10/2012 Check the sign of the CMS64 reimbursement determine whether a positive adjustment or negative adjustment report type code needs to be assigned for prior period. RAT0389 120289 Remove Audit related Financial Reason Codes from CMS64 Base 4/6/2012 Bypass audit related financial reason codes and claim adjustment reason codes. Also remove TPL report logic.
XEROX%20CMS-64%20Reporting%2024D-5exhb-B.docx