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ESRD Treatment Choices (ETC) Model: Reprocessing Claims

Centers for Medicare & Medicaid Services

*               ESRD Treatment Choices (ETC) Model: Reprocessing Claims*

The model team with the help of the Fiscal Intermediary Standard System (FISS) identified that claims processed under the ETC Model have been incorrectly processed due to both FISS and ESRD Pricer making the HDPA/PPA adjustments. Therefore, current operations are in place to properly update the processing of these claims. All ESRD claims processed under the ETC model with dates of service 1/22/2022 or greater received on or before 9/27/2024 will be reprocessed.

Your Medicare Administrative Contractor has started reprocessing affected claims from January 20th, 2025. You don’t need to take any action. For any questions, please contact your MAC.

Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our *contact us [ http://www.cms.gov/About-CMS/Agency-Information/ContactCMS/index.html ] *page.

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  • [登録者]Centers for Medicare & Medicaid Services (CMS)
  • [言語]日本語
  • [エリア]Baltimore, MD
  • 登録日 : 2025/02/10
  • 掲載日 : 2025/02/10
  • 変更日 : 2025/02/10
  • 総閲覧数 : 18 人
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