Application of the Merit-based Incentive Payment System (MIPS) Payment Adjustment to Medicare Advantage Out-of-Network Payments – File Layout and Additional Guidance
Guidance for providing the file layout for the MIPS payment adjustment data file and the calculation of member cost-sharing and plan liability under a Medicare Advantage (MA) plan that uses a coinsurance method of cost-sharing.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 08, 2018
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