Update on CMS Claims Processing Problem

CMS has announced that due to significant problems processing claims under the Fiscal Intermediary Standard System (FISS), formerly known as the Florida Shared System (FSS), all Rural Health Clinic Medicare claims with a date-of service on or after April 1, 2016 are being held by the Medicare Administrative Contractors (MACs).

At this time, we do not know how long this hold will be in place. The National Association of Rural Health Clinics (NARHC) has been assured that this problem is being worked on as quickly as possible and that officials at the highest level of CMS have been briefed on this development. NARHC staff are scheduled to get an update later today, and we will post this information once it is available.

CMS is well aware of the significant financial problems delays in payments will cause RHCs and they have assured NARHC they are exploring all options to either avoid or minimize payment delays.