[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-160942-105":53,"doc-detail-160942-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","exploring-the-direct-data-entry-dde-inquiries-menu-december-2023-education-disclaimer","Exploring the Direct Data Entry (DDE) Inquiries Menu - December 2023 - Education Disclaimer","","This educational slide deck introduces the Medicare Direct Data Entry (DDE) Inquiries Menu and explains how key inquiry options display beneficiary eligibility, DRG pricing and grouper details, claim history and claim-line information, revenue code constraints, HCPCS rate data, adjustment and reason codes, and remittance advice-related ANSI reason codes. It clarifies that Medicare coverage outcomes depend on applicable CMS rules and that responses rely on provided facts, not on fixed slide assertions. The material also notes compliance limits on recording for profit-making use.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/exploring-the-direct-data-entry-dde-inquiries-menu-december-2023-education-disclaimer/160942/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/exploring-the-direct-data-entry-dde-inquiries-menu-december-2023-education-disclaimer/160942.png","ImageObject",442,249,{"name":88,"@type":89},"Oliver","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.presentationml.presentation","2026-09-29","2026-08-30",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information does the DDE Beneficiary/CWF (10) screen display?","Question",{"text":109,"@type":110},"It shows current Medicare Part A and Part B entitlement, additional eligibility details, benefit period coverage, current and prior status, deductibles, hospice, home health, preventive services, and Medicare Advantage information.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How does the DDE DRG (Pricer/Grouper) (11) inquiry determine payment information?",{"text":114,"@type":110},"It presents detailed payment information calculated by Pricer and Grouper software, including PPS payment calculations. Accurate results require specific data such as diagnosis and procedure codes, POA indicators, discharge status, discharge date, covered days, total charges, patient birth date (or age), and gender.",{"name":116,"@type":107,"acceptedAnswer":117},"What can users view in the DDE Claim Summary (12) section?",{"text":118,"@type":110},"It displays claim history including pending and processed items. Users can customize searches by MBI, TOB, status, location, and claim date range, then open claim detail pages to review narrative reason codes and line-item detail where available.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},160942,1788085820,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":126,"read_time":8},8796095461610,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Exploring the Direct Data Entry (DDE) Inquiries Menu\nDecember 2023\nDisclaimer\nWe prepared this education as a tool to assist the provider community.  Medicare rules change often. They are in the relevant laws, regulations and rulings on the Centers for Medicare & Medicaid Services (CMS) website.\nWe will provide responses to questions based on the facts given, but the Medicare rules will determine final coverage.\nCMS prohibits recording of the presentation for profit-making purposes.\nAcronyms\nADR – Additional Development Request\nANSI – American National Standards Institute\nCMS – Centers for Medicare & Medicaid Services\nDDE – Direct Data Entry\nDRG – Diagnosis Related Group\nEFT – Electronic Funds Transfer\nFISS – Fiscal Intermediary Standard System\nHCPCS - Healthcare Common Procedure Coding System\nMore Acronyms\nMBI – Medicare Beneficiary Identifier\nMSI – Multiple Services Indicator\nPOA – Present on Admission\nPPS – Prospective Payment System\nRA – Remittance Advice\nRTP – Return(ed) to Provider\nSC – Screen Control or Short Cut\nTOB – Type of Bill\nDDE Main Menu\n01 - Inquiries\n10 – Beneficiary/CWF\nDisplays current Medicare Part A and Part B entitlement\nAdditional eligibility information\nBenefit period\nCurrent and prior\nDeductible\nHospice\nHome Health\nPreventive services\nMedicare Advantage\n11 – DRG (Pricer/Grouper)\nDisplays detailed payment information\nCalculated by the Pricer and Grouper software programs\nProvides specific Diagnostic Related Group (DRG) assignment\nProspective Payment System (PPS) payment calculations\nSpecific information required for accurate calculation\nData Required for DRG Inquiry\nDiagnosis and procedure codes\nIncluding Present on Admission (POA) indicators\nDischarge status code\nDischarge date\nCovered days\nTotal charges\nPatient’s date of birth (or age)\nGender\n12 – Claim Summary\nDisplays history information for claims\nPending\nProcessed\nCustomize search by:\nMedicare Beneficiary Identifier (MBI)\nType of Bill (TOB)\nStatus\nLocation\nClaim From/To date\nClaim Summary List\nClaim Detail\nSelect claim to view in entirety\nF8 to move page by page\nNo updates\nInquiry only\nF1 to view narrative of Reason Codes\nOr 17 in Screen Control (SC) field\nReason Code sub-menu\nClaim Page 1\nReason Code Narrative\nClaim Page 2\nLine-Item Detail\nClaim Page 3\nClaim Page 4\nClaim Page 5\nClaim Page 6\n13 – Revenue Codes\nRevenue codes allowable on certain types of bills\nView other revenue code requirements:\nHCPCS\nUnits\nRate\nEffective date\nTermination date (if applicable)\nEnter four digits in REV CD field\nZero in first position\n14 – HCPC Codes\nView allowable revenue codes\nDisplay rate data for HCPCS pricing\nIf multiple procedure payment reduction applies\nMultiple Services Indicator (MSI) = 5\nRequired in addition to HCPCS:\nLocality Code, or\nCarrier and Locality Codes, or\nProvider Number\n16 – Adjustment Reason Codes\nTwo-digit code and narrative\nIdentifies reason for adjustment\nSupplements Claim Change Reason Code\nMore detailed information\nExample: D1 – changes to charges\nSA – increase in covered charges\nSB – decrease in covered charges\n17 – Reason Codes\nNarrative defines and gives instruction\nProcessing and adjudication information\nEdit at claim or line level\nIdentifies status/location\n56 – Claim Count Summary\nTotal claim count and dollar amount by status/location\n68 – ANSI Reason Codes\nView codes on Remittance Advice (RA)\nAmerican National Standards Institute (ANSI)\nResearch narrative and associated information\nFI – Check History\nView three most current payments\nCheck or electronic funds transfer (EFT)\nCHECK # field\nLeading zeros indicate payment by check\nLeading “eft” indicates electronic payment\nDates payments issued\nDollar amounts of payments\nLocating the DDE Manual\nResources\nDirect Data Entry (DDE) Manual\nDirect Data Entry (DDE) Overview\nQuestions\nThank you","cbCaiaTRBoV9A13V","https://ap.wps.com/l/cbCaiaTRBoV9A13V","pptx",997146,31,"English","# DDE Main Menu\n## Inquiries (01)\n## Beneficiary/CWF (10)\n## DRG (Pricer/Grouper) (11)\n## Claim Summary (12)\n## Revenue Codes (13)\n## HCPC Codes (14)\n## Adjustment Reason Codes (16)\n## Reason Codes (17)\n## Claim Count Summary (56)\n## ANSI Reason Codes (68)\n## FI - Check History\n# Resources\n## Locating the DDE Manual\n## DDE Overview\n## Questions","[{\"question\":\"What information does the DDE Beneficiary/CWF (10) screen display?\",\"answer\":\"It shows current Medicare Part A and Part B entitlement, additional eligibility details, benefit period coverage, current and prior status, deductibles, hospice, home health, preventive services, and Medicare Advantage information.\"},{\"question\":\"How does the DDE DRG (Pricer/Grouper) (11) inquiry determine payment information?\",\"answer\":\"It presents detailed payment information calculated by Pricer and Grouper software, including PPS payment calculations. Accurate results require specific data such as diagnosis and procedure codes, POA indicators, discharge status, discharge date, covered days, total charges, patient birth date (or age), and gender.\"},{\"question\":\"What can users view in the DDE Claim Summary (12) section?\",\"answer\":\"It displays claim history including pending and processed items. Users can customize searches by MBI, TOB, status, location, and claim date range, then open claim detail pages to review narrative reason codes and line-item detail where available.\"}]","Exploring the Direct Data Entry (DDE) Inquiries Menu - December 2023 - Education Disclaimer | PPTX"]