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.
Subject: Fraud Prevention System (FPS) 2 Edit Migration Testing
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Special Notes: Transmittal 694, Pub 100-08, dated December 30, 2016, is being rescinded and replaced by Transmittal 1771, Pub 100-20, dated January 10, 2017, in order to change it from a Pub. 100-08 change request to a Pub. 100-20 change request.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.