The AxxessDDE Dashboard includes quick reports on payments, claims, and eligibility information.
Green – indicates paid amounts and Blue indicates projected amounts for future payments.
Select Full Report to view other date ranges and the EFT numbers.
As claims are processed in FISS (Fiscal Intermediary Standard System), they move through various stages of the system. These stages are identified by status/location codes and provide information about what’s happening to the claim.
R – Rejected
D – Denied
T– Return to provider
P – Processed/Paid
I – Inactivated
S – Suspended
To get to the full report, you may click Full Report at the top of the Claims Count Summary box.
Finals Due shows patients that a RAP claim processed in DDE, but the Final claim has not been processed.
RAPs at Risk – indicates the RAP claim has been processed but the Final Claim has not been processed, and the RAP is at Risk to Auto-Cancel soon. A Final Claim must be processed within 120 days of the beginning of the episode or 60 days from the processed date of the RAP in order to keep the RAP from auto-canceling. This section will alert you to the claims that do not show a Final Claim within these time frames.
RAPs Canceled are auto-canceled claims. These are the claims that have canceled due to a Final Claim not processed within 120 days of the beginning of the episode or 60 days from the processed date of the RAP. To view the Full Report, click on Full Report at the top of the box. Select the selection title to view the specific claims listed for the specific section.
Stuck in Suspense are claims that have been in the same status location for 30 days or more. The claims listed here are approaching the 30 days.
RTP Claims (Return to Provider) are claims that have been returned to provider for needing correction.
Rejected Claims are claims that have been rejected for payment for various reasons specified by the reason code.
ADR Claims (Additional Development Request) are claims needing medical records sent to CMS. CMS uses ADRs to request medical records from providers during the medical review process.
To see the claims within each category, click on the item description in blue under the number.
To view the patients under each section, click the issue title.
Part A & B indicates an issue with either Medicare Part A coverage or Medicare Part B coverage.
Other HHA indicates a possible issue with another Home Health Agency in the patient’s home during a time period.
HMO Patients shows the patient has a Medicare Advantage Plan.
MSP Patients (Medicare Secondary Payer) shows patients with an insurance that is primary to Medicare.
Hospice Patients indicates the patient is a Hospice patient.
CWF Not Found (Common Working File) indicates no eligibility was found for Medicare. Check the patient’s Medicare Card to verify correct information has been entered.