The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) utilize provided rules for the Healthcare Integrated General Ledger Accounting System under Code of Federal Regulation (CFR) § 424.530(a)(6)(i), related to overpayment-related denials. A Change Request from CMS defines suppliers and identifies criteria for resolving denial situations.
Subject: HIGLAS Enhancement Required for Implementation of Overpayment based Denials
Release Date: September 1, 2017
Effective Date: April 1, 2018
Implementation Date: April 2, 2018
Special Notes: N/A