Periodic Interim Payments (PIP)

Institutional providers that receive bi-weekly Medicare Periodic Interim Payments (PIP) are required to maintain timely and accurate billing for program services. According to the policy as described in the Medicare Claims Processing Manual (CMS-100-04, Chapter 1, section 80.4), timely and accurate means that 85% of bills are submitted within 30 days of discharge and pass front-end edits for consistency and completeness. Medicare Administrative Contractors must measure compliance with this policy and report their findings to the affected providers. Providers that fail to meet the criteria are to be removed from PIP and paid on a claim-by-claim basis. Noridian is currently monitoring to insure that the requirements set forth by CMS are being adhered to by PIP providers. If you have any questions, please contact Heather Arechigo at 701-277-6906 or Shari Qualley at 701-282-1216.

 

Last Updated Apr 23, 2018