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Change Request 5044 - cms

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The document is a CMS Manual System update (Transmittal 209) from the Department of Health & Human Services, detailing changes to the Medicare Program Integrity Manual. It outlines revisions to the VIPS Medicare System and Medicare Contractor System to include National Provider Identifiers (NPI) for legacy provider identifiers. Key changes include updates to claim information formats, effective dates for implementation, and requirements for contractors regarding claims data submission. The document also specifies that no additional funding will be provided for these changes.

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What is CMS in change management?

The Centers for Medicare and Medicaid Services (CMS) uses risk-adjustment factors to compute the payment for the beneficiaries enrolled in Medicare or Medicare Advantage plans. In doing so, CMS can make accurate payments for enrollees with differences in expected costs.

What does CMS consider a change of ownership?

Change of Ownership (CHOW) is defined in 42 CFR 489.18 (a) and generally means, in the case of a partnership, the removal, addition, or substitution of a partner, unless the partners expressly agree otherwise, as permitted by applicable State law.

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A change request in ACO-MS refers to adding new information or changing existing information in ACO-MS that may require CMS approval.

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