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Implementing Home Health Travel Reimbursement Payment Changes for FCHIP (Frontier Community Health Integration Project) Mandated by section 123 of MIPPA 2008 and as amended by section 3126 of the ACA 2010 Revisions to State Operations Manual (SOM) Appendix J, Part II – Interpretive Guidelines – Responsibilities of Intermediate Care Facilities for Individuals with Intellectual Disabilities revisions.
An addition of a New Exhibit to the State Operations Manual (SOM) for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), Probes and Procedures for Appendix J, Part II – Interpretive Guidelines- Responsibilities of Intermediate Care Facilities for Individuals with Intellectual Disabilities Guidance on the Physician Quality Reporting System (PQRS) 2013 Reporting Year and 2015 Payment Adjustment for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs) This transmittal updates Chapter 40, Hospital and Hospital Health Care Complex Cost Report, (Form CMS-2552-10) to clarify and correct the existing instructions and incorporate statutory and regulatory changes. The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2012 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) Updates to the Model 4 Bundled Payments for Care Improvement (BPCI) Initiative to Clarify the Payment Calculation to Include New Technology Add-On Payments, Validate Only Claims with Medicare as Primary Payer, Allowing Medical Necessity Denial Claims to Process Effectively, and Correct Processing of Claims Submitted as Model 4 for Beneficiaries Determined to be Inelible.
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