To All Clients:
CMS HOPE and OASIS Final Validation Report Import
The CMS Final
Validation Import has been altered to process HOPE FVR files in addition
to OASIS FVR files. There is no need to edit the FVR files downloaded from iQIES prior to
importing them into myUnity Essentials-Billing.
Please refer to the HOPE Set-Up and Export Guide or OASIS Acceptance Tracking FAQ for detailed information.
Automatic Denial/Adjustment Reason Code Posting
In Version 1.2.9.29 the Claim Adjustment Reason Codes (CARC) in the electronic remittance file will post to the bill detail records via Electronic Payments when:
- The claims were submitted
using a billing option set that has option 2400.35 set to 'Line-Item Control Number' (the claim must have a REF*6R segment).
- Process Options 'Show Claim/Adj Detail', 'Show/Post
Charge Detail' and 'Post Zero Paid Amounts' are selected when posting the Electronic Payment.
- The charge record has $0 payment
in the remittance file (CARC's for partial payments will not post).
The Denial Report can be run to review the CARC information for the denied charges:
Please refer
to Help
> Release Info for
a complete list of program changes included in this release and contact
Support with any questions or concerns.
Back to Client Advisories
List...
