Corrections to Individual Records

40 – Corrections to Individual Records (Rev. 27, 12-19-03) The PS&R system allows corrections of total charges and/or units, days/visits, revenue codes within a provider and changes to covered amounts on the provider summary report. The following data are required to make adjustments. INDIVIDUAL RECORDS Item Enter 1. Request Date Today's Date 2. Submitted By Your Name 3. Provider Number The provider to be adjusted. 4. Report Type The report type of the provider to be adjusted. 5. Paid Date The remittance date for the claim(s) being adjusted. 6. Thru Date The thru date of service for the claim(s) being adjusted. 7. DRG Code For prospective payment providers, the DRG code under which the change was made. For other providers leave blank. 8. Add to Revenue Code The revenue code to receive the new amounts. 9. Subtract from Revenue Code The revenue code from where amounts should be subtracted. 10. Days (Visits) Number of days/visits to be adjusted between the revenue codes specified. 11. Charges Dollar amounts to be adjusted. The PS&R system processes adjustments with a frequency code of 7 (cancel) and 8 (reissue). Other types of adjustments, e.g., credits and debits, PRO adjustments, cannot be handled by this system. Prepare an interface program that will convert the adjustments to frequency codes 7 or 8 in order to process PRO debit/credit adjustments and maintain the data in the PS&R system for cost settlement.