Medicare Part A providers, Direct Data Entry (DDE) training courses, offered by various Fiscal Intermediaries (FIs) like Palmetto GBA and First Coast Service Options, provide instruction on using the system for claim entry, correction, status inquiries, and more.
Here's a breakdown of key information:
What is DDE?
DDE is a system that allows Medicare Part A providers to access the Fiscal Intermediary Standard System (FISS) to submit claims, correct them, check their status, and perform other functions electronically.
Who is it for?
DDE is designed for Medicare Part A providers.
What functions can be performed?
- Submit UB-04 claims.
- Correct, adjust, and cancel claims.
- Perform inquiries, such as beneficiary eligibility, claims history, revenue codes, and diagnosis codes.
- View certain online reports.
Where to find training materials?
- Palmetto GBA: Offers a series of self-paced training modules, including a Quick Reference and modules on Introduction to DDE, Inquiry Applications, Claims, MSP Claims, and Reports. You can find these modules on the Palmetto GBA website.
- First Coast Service Options (FCSO): Provides a DDE User Manual and other resources on their website. You can find the DDE User Manual on the FCSO website.
- Other FIs: Check the websites of your specific FI for DDE training resources.
Important Notes:
- Connectivity: DDE requires a connectivity service provided by an external company, and it's the provider's responsibility to coordinate this.
- User ID and Access: Noridian is responsible for assigning user IDs and terminating access for DDE.
- Data Accuracy: Ensure that all data entered is accurate and complete to avoid non-compliance with reporting requirements.
- F3 and F4: Be aware that pressing F3 while entering data can lead to loss of information, and pressing F4 will log you out of the system.
Additional Training:
Direct Data Entry (DDE): How to Correct a Claim
Manuals:
Medicare Claims Processing Manual Chapter 11
Medicare Claims Processing Manual Chapter 12- Physicians/Nonphysician Practitioners