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ACA Financial Appeals (ACA FA) FAQ

Guidance for FAQ regarding Other and Other

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: June 07, 2016

Program Area: ACA Financial Appeals (ACA FA)

Question: Can the Centers for Medicare & Medicaid Services (CMS) provide clarification regarding the overlapping claims software discrepancy discussed on the 4/27 discrepancy reporting webinar?

Answer: CMS will release a communication concerning software updates via email and by REGTAP Announcement. CMS will work directly with issuers who identify issues to resolve any issues identified. CMS will also communicate with other entities regarding discrepancies that might potentially affect issuers on a wider scale.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.