This transmittal revises, clarifies and makes corrections to Chapter 46, Rural Health Clinic (RHC) Cost Report, Form CMS‑222‑17, by revising existing edits, creating new edits, and updating references.
The inflation factors in Section 1499 are applied at the beginning of a cost reporting period.
The factor for CY 2021 has been added and the factor for CY 2011 has been deleted. The factors are applied on a calendar year basis.
Implementation of the Capital Related Assets Adjustment (CRA) for the Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) Under the End Stage Renal Disease Prospective Payment System (ESRD PPS)
Remove Beneficiaries Below 18 Years Old From Model Adjustments - Correction for CR 11390
Federally Qualified Health Center (FQHC) Participation in and Payment Under the Maryland Primary Care Program (MDPCP) - Implementation Change Request (CR) to correct Business Requirement (BR) 12326.7.2.
Update of Chapter 3 in Publication (Pub.) 100-08, Including Update to Medicare 2022-07-28 Program Integrity Contractor Post-Payment Review Process, and Update of Chapter 8 Pub. 100-08, Including Revision to When Contractor Suspects Additional Improper Claims
Masking the Medicare Beneficiary Identifier (MBI) on the Medicare Summary Notice (MSN)
Monthly Report of Performance Payment Adjustment (PPA) Claims - Addition to Change Request (CR) 12404 - Implementation CR
Multi-Carrier System (MCS) Removal of the Physician Pay for Reporting (P4R), Physician Quality Reporting System (PQRS) and Electronic Prescribing (ERx) Incentive Payments Financial Logic from the Claims Processing System
Modification of Existing Common Working File (CWF) Editing for Preventive Services
Corrections to Processing of Canceled Home Health Notices of Admission and of Period Sequence Edits
October 2022 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
Claim Status Category and Claim Status Codes Update
Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2022
Interns and Residents Information System (IRIS) XML Format
Instructions to the Fiscal Intermediary Shared System [FISS] Edit to Expand the Existing MA Bypass Reusable Solution PARMCC78 and Modify the Existing Logic to Read the New PARMs
New Edit for Prospective Payment System (PPS) Outpatient and Inpatient Bill Types Receiving an Outlier Payment When a Device Credit is Reported