ekk6zpn7nrr~notused~CSSC Operations will be closed Friday, January 1, 2021 in observance of the New Year's Day holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions.~none~null~blue~12-30-2020 10:42~01-02-2021 07:43||84mpewdo7x6~notused~CSSC Operations will be closed Thursday, December 24, 2020 and Friday December 25, 2020 in observance of the Christmas holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions.~none~null~blue~12-22-2020 10:42~12-26-2020 07:43||hxtyfqsvy4p~notused~CSSC Operations will be closed Thursday, November 26, 2020 and Friday, November 27, 2020 in observance of the Thanksgiving Day holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions.~none~null~blue~11-23-2020 10:42~11-28-2020 07:43
MAOs are receiving EDFES edit 178 “Submitted Charges” when the charges exceed $99,999.00. Can CMS provide a prevention or resolution strategy for this edit?
Encounter and Risk Adjustment Program (Part C)~FAQs
MAOs are receiving EDFES edit 178 “Submitted Charges” when the charges exceed $99,999.00. Can CMS provide a prevention or resolution strategy for this edit?
Answer:
This edit applies to the header level on Professional records in the Encounter Data Front End System (EDFES). Given the current edit, CMS recommends splitting the Encounter Data Record (EDR) into two separate records. It is important to note that, in order to avoid a duplicate record rejection in the Encounter Data Processing System (EDPS), the submitter should also split the services (e.g., procedure code, modifier, etc.) along with the billed amount across multiple encounters. Assuming the services as well as the amounts are allocated across multiple EDRs, the duplicate edit will not be triggered since the data elements that are checked in the EDPS duplicate logic will differ across the EDRs.