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Fiscal Intermediary Shared System (FISS) - New Process to Create and Use Overridable Reason Codes

The purpose of this Change Request (CR) is to simplify the authorized reason code authorization process. This CR will eliminate the requirement to expand the number of reason codes that can be added to the user's Operator Control file record and reduce effort for FISS and the Medicare Administrative Contractors (MACs) to add new overridable reason codes.

Download the Guidance Document

Final

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

Issue Date: May 09, 2024

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.