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  • Federally Qualified Health Center Pricer
  • Post author
    Lacy Gaskins

Federally Qualified Health Center Pricer

The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) load the Federally Qualified Health Center (FQHC)  Pricer before January 1, 2018 and mass adjust various FQHC claims within 90 days of the CR according to Section 10501(i)(3)(A) of the Affordable Care Act.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3922CP.pdf

Subject: Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018 - Recurring File Update

Number: 3922

Title: 10334

Release Date: November 16, 2017

Effective Date: January 1, 2018

Implementation: January 2, 2018

Special Notes: Transmittal 3882, dated October 13, 2017, is being rescinded and replaced by Transmittal 3922 dated, November 16, 2017 to include provider education. In addition, this Transmittal is no longer sensitive/controversial and may now be posted to the Internet. All other information remains the same.

 

 

  • Post author
    Lacy Gaskins