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  • Testing Fraud Prevention System Edits
  • Post author
    Lacy Gaskins

Testing Fraud Prevention System Edits

The Centers for Medicare & Medicaid Services (CMS) request that Medicare Administrative Contractors (MACs) participate in testing up to 7 Fraud Prevention System (FPS) edits according to resources provided by the National Fraud Prevention Program (NFPP). The NFPP has introduced the FPS tools in order to reduce waste, fraud and abuse through preventative measures to block fraudulent claims. Testing will last approximately four weeks. The CMS also request that contractors participate in a total of two post-testing feedback meetings, not to exceed one hour each.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1771OTN.pdf

Subject: Fraud Prevention System (FPS) 2 Edit Migration Testing

Number: 1771

Title: Change Request 9920

Release Date: Jan. 10, 2017

Effective Date: Jan. 6, 2017

Implementation Date: Feb. 21, 2017

Special Notes: Transmittal 694, Pub 100-08, dated December 30, 2016, is being rescinded and replaced by Transmittal 1771, Pub 100-20, dated January 10, 2017, in order to change it from a Pub. 100-08 change request to a Pub. 100-20 change request. All other information remains the same.

 

 

  • Post author
    Lacy Gaskins

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