Correction of the Fiscal Year (FY) 2019 IPPS Pricer

MLN Matters Number: MM11208
Related CR Release Date: March 29, 2019
Related CR Transmittal Number: R4272CP
Related Change Request (CR) Number: 11208
Effective Date: October 1, 2017
Implementation Date: July 1, 2019

CR11208 informs the Fiscal Intermediary Shared System (FISS) maintainer to install a corrected Inpatient Prospective Payment System (IPPS) Pricer program. It also requires MACs to adjust claims for IPPS hospitals located in a county that is on the list to receive an outmigration adjustment in 2018 to correct inaccurate payments. The CR does not contain new policy. It ensures correct payment of affected claims. Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11208.

Last Updated Apr 01, 2019