Extension of Changes to the Low-Volume Hospital Payment Adjustment and the Medicare Dependent Hospital Program - Revised

MLN Matters Number: MM12970 Revised
Related CR Release Date: December 9, 2022
Related CR Transmittal Number: R11740OTN
Related Change Request (CR) Number: 12970
Effective Date: October 1, 2022
Implementation Date: No later than November 1, 2022

Note: CMS revised this Article due to a revised CR 12970. CMS is giving your MAC 60 days to reprocess claims affected by the CR. They show this change in dark red on page 2. CMS also revised the CR release date, transmittal number, and the web address of the CR. All other information is the same.

CR 12970 tells you about:

  • Sending a written request to your MAC by November 16 to get the applicable low-volume hospital payment adjustment
  • Finding out if you’re eligible for continued MDH status

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12970.

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