CMS Finding Numbers

40.3 - CMS Finding Numbers (Rev. 13001, Issued: 12-13-24, Effective: 10-01-24, Implementation: 01-15-25) Finding Numbers should be assigned using the following instructions. Each section of digits should be separated by a dash. A. The first three, four, or five digits are letters, which identify the name of the contractor. Each contractor is assigned a unique set of letters listed below. Finding numbers ending with D & J are defined as follows: • End letter “D” represents a DME MAC (e.g. ZZZD or ZZZZD) • End letter “J” represents a A/B MAC (e.g. ZZZJ or ZZZZJ) B. The second two digits are the last two numbers of the year of the review. C. The next one digit is a letter to identify the review/audit type. D. The last three digits are three numbers assigned sequentially to each finding type beginning with 001. Table 1 – REVIEW/AUDIT TYPE Findings resulting from the following types of audits or reviews should be reported using the Initial and Quarterly CAP Reports. Choose one from the following list: Review / Audit Letter Review / Audit Description A A-123 Appendix A Non-IT C CPIC (Your Annual Self Certification Package) E CFO EDP Audit F CFO Financial Audit G GAO Review (Financial Reviews) I A-123 Appendix A IT M CMS’ CPIC Reviews O OIG Review HHS / OIG / IT Controls Assessment P CMS’ 1522 and CMBRW Reviews S SSAE 18 Audit V CFO Related NVA / ST W IFM Review Table 2 – A/B, DME, AND SPECIALTY MAC CONTRACTOR ABBREVIATIONS A/B, DME, and Specialty MAC Contractor Name and Jurisdiction A/B / DME / SMAC Abbreviation Noridian Healthcare Solutions, LLC, Durable Medical Equipment (DME) MAC JA & JD NORD CGS Administrators, LLC, DME MAC, JB & JC CGSD Wisconsin Physicians Service Insurance Corporation, A/B MAC, J5 & J8 WPSJ National Government Services, Inc., A/B MAC, J6 & JK NGSJ CGS Administrators, LLC, A/B MAC, J15 CGSJ Noridian Healthcare Solutions, LLC, A/B MAC, JE & JF NORJ Novitas Solutions, Inc., A/B MAC, JH & JL NOVJ Palmetto GBA, LLC, A/B MAC, JJ & JM PGBAJ First Coast Service Options, Inc., A/B MAC, JN FCSOJ Palmetto GBA, LLC, Railroad Retirement Board (RRB) Specialty MAC (SMAC) PGBAR Table 3 – CONTRACTOR ABBREVIATIONS Contractor Name and Area Contractor Abbreviation Novitas Solutions, Inc., Affordable Care Act Exchange Oversight Contractor NOVA General Dynamics Information Technology (GDIT), Benefits Coordination and Recovery Center (BCRC), Medicare Secondary Payer Recovery Contractor (MSPRC) BCRC Palmetto GBA, LLC, Pricing, Data Analysis, and Coding (PDAC) PDAC Performant, Commercial Repayment Center (CRC), MSPRC CRC General Dynamics Information Technology (GDIT), Retiree Drug Subsidy (Part D Contractor) RDS National Government Services Financial Solutions, Innovation Payment Contractors (IPC) IPC Table 4 – SHARED SYSTEM MAINTAINER ABBREVIATIONS Shared System Maintainer Name and Area SSM Abbreviation Common Working File Maintainer (CWF) CWF Shared System Maintainer Name and Area SSM Abbreviation Fiscal Intermediary Standard System (FISS) FISS Multi-Carrier System (MCS) MCS Viable Information Processing Systems (ViPS) Medicare System (VMS), DME Claims Processing System VMS Table 5 – DATA CENTER ABBREVIATIONS Data Center Name and Area DC Abbreviation Amazon Web Services (AWS) AWS Companion Data Services (CDS), Virtual Data Center (VDC) CDS Disaster Recovery as a Service (DRaaS) General Support System (GSS) DRaaS Leidos Managed Data Center (LMDC) – Culpepper, VA, Healthcare Integrated General Ledger Accounting System (HIGLAS) LMDC Workload A (Managed by CDS) WKLDA Workload B (Managed by CDS) WKLDB End Section 40.3 – CMS Finding Numbers: Back to Table of Contents