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Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations - Update

This revised Special Edition Article (SE) comprises Subregulatory Guidance for enforcing the systematic validation edits requirements in Section 170 of Chapter 1: These aren’t new requirements. CMS discussed these requirements in CRs 9613 and 9907, effective January 1, 2017. On March 24, 2020, we announced a delay until further notice to the activation of these for OPPS providers with multiple service locations. CMS policy or operation subject matter experts also reviewed/cleared this SE Article. This SE Article educates on national testing. Revisions to this SE Article include following content updates:
• Added information on how to handle certain off-campus provider-based departments excepted from Section 603 payment policy

The previous version of this SE Article is available to the public and currently posted on the CMS website at

Download the Guidance Document


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

Issue Date: February 05, 2024

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.