April 2026 Quarterly Release Temporary Hold

Published 03/13/2026

Each quarter, the Fiscal Intermediary Shared System (FISS) is updated to include new logic for claims processing, pricing, etc.

When the release is installed, Palmetto GBA places a temporary 'hold' to ensure the release is installed properly. During this time, claims with dates of service on or after April 1, 2026, will be held in the status/location listed below and may be released before or on April 14, 2026, to continue processing. We anticipate claims will still be processed within a normal timeframe and these slight delays will not affect the timeliness of your payments.

Table 1

Reason Code

Location Status

Description

36452

SMHOSP

Hospice

37230

SMHOME

Home Health PPS Claims

WW999

SMFISS

Holds All Claims

This process does not apply to Home Health Notices of Admission (NOAs) and Hospice Notices of Election (NOEs). These notices can still be submitted as normal to Palmetto GBA during this period. 

Providers should be reminded that Medicare claims processed by the 30th day from claim receipt are considered timely. Beginning on the 31st day from receipt, interest will be applied to clean claims that have not been processed. A 'clean' claim is one that does not require the Medicare Administrative Contractor to investigate or develop external to their Medicare operation on a prepayment basis.


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