CMS Pub. 100-06, ch. 7, § 30.9.4

G – Control

Objective

Number

G – CUEC Description

G.1 The Fiscal Intermediary Standard System (FISS), a Part A CMS

system, automatically creates “I” records as needed.

This control objective does not pertain to BCRC or the CRC

contractors.

G.1 MSP edits (including 6800) codes are automatically processed by

CWF and reported to the contractors for claim review through audit

and error codes in the applicable shared system in order to assist

examiners in the processing of claims. The applicable systems are

configured with automated help messages to aid claims processing

and edit resolution.

G – Control

Objective

Number

G – CUEC Description

G.1 The applicable systems are configured to process claims. The

MSPPAY module calculates the amount Medicare should pay as

secondary payer. These MSP amounts are automatically updated in

the applicable shared systems and the final MSP payment amount is

sent to CWF.

G.2 HIGLAS and CAFM records overpayments as adjustments are

posted, sets up accounts receivable, and tracks interest assessment

on debt.

G.3, G.4 The CMS provides software, the Common Working File (CWF) for

editing, and the Electronic Correspondence Referral System (ECRS)

to address assistance requests and MSP inquiries.

G.5 CMS accurately and timely communicates mandated regulatory

requirement changes and internal policy changes.

ALL Access to the all CMS systems are restricted by user identifier (ID)

and password. Inactive ID’s are suspended after 30 calendar days

and deleted after 90 calendar days. Controls are in place to suspend

an account after three unsuccessful login attempts.

End Section 30.9.4 – G CUECs – Medicare Secondary Payer (MSP): Back to Table of

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