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  • FQHC Pricer Document
  • Post author
    Lacy Gaskins

FQHC Pricer Document

The Centers for Medicare & Medicaid Services (CMS) request that contractors load a FQHC pricer document effective January 1, 2017, showing adjusted rates for Tribal Federally Qualified Health Centers (FQHCs) grandfathered under the provisions of the Affordable Care Act, and adjust claims with service dates between January 1, 2016 and December 31, 2016. The Centers for Medicare & Medicaid Services (CMS) stipulates that this adjustment must be done within 45 days of receiving the communication.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3688CP.pdf

Subject: Update to the Federally Qualified Health Center Prospective Payment System (PPS) Recurring File Updates

Number: 3688

Title: N/A

Release Date: Jan. 4, 2017

Effective Date: Jan. 1, 2017

Implementation Date: January 3, 2017

Special Notes: N/A

  • Post author
    Lacy Gaskins

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