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Internet Only Manual Update, Pub. 100-04, Chapter 3 (Inpatient Hospital Billing), Sections 20.1.2.7, 140.2.10, 150.28, 190.7.2.5, and Chapter 4 (Part B Hospital) Section 10.7.2.4 Procedures for Medicare Contractors to Perform and Record Outlier Reconciliation Adjustments

The purpose of this Change Request (CR) is to update the Internet-Only Manual (IOM) 100-04 Chapter 3; Sections 20.1.2.7, 140.2.10, 150.28, 190.7.2.5, and Chapter 4; Section 10.7.2.4 to update the data elements of the Fiscal Intermediary Shared System (FISS) Extract file created in the outlier reconciliation Lump Sum Utility tool as follows:

Download the Guidance Document

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

Issue Date: January 16, 2025

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.