CMS Preps for April Payment Cycle Transition 
with New PBP Guidance

The Centers of Medicare and Medicaid Services has updated its Issuer transition guide (Financial Management 2015 to 2016 Issuer Transition Guide Version 4.0) in addition to a revised dispute form and discrepancy resolution form for Issuers participating on the Federally-Facilitated Marketplace (FFM). Amending earlier guidance released on December 4, 2016, this revised version highlights issuer expectations for the transition to policy based payments (PBP).  Issuers may also access a list of disposition and error codes on both the REGTAP Library and CMS Zone, published on March 14, 2016. The Financial Management 2015 to 2016 Issuer Transition Guide Version 4.0, outlines new guidance that includes payment adjustments to the manual payment amount during the month of April and the conclusion of adjustments scheduled this May. READ MORE

HCEG offers member organizations the opportunity to tap into the knowledge and expertise of parallel organizations and industry thought leaders, while driving industry-wide innovation and transformation.

By confirming your subscription you're granting HealthCare Executive Group permission to email you. You can revoke permission to mail to your email address at any time using the Safe Unsubscribe link found at the bottom of every email.

Copyright © 2015 All Rights Reserved.