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Automatic Reprocessing of Claims for Kidney Care Choices (KCC) Model- Implementation

The purpose of this Change Request (CR) is to include automatic reprocessing into claims processed for the Kidney Care Choices (KCC) model. CRs 11914, 11915, and 12362 process claims as per the KCC model related payment adjustments, benefit enhancements and other adjustments. These CRs specifically removed automatic reprocessing due to the limitations at the time, hence, this CR is reintroducing automatic reprocessing to avoid multiple issuances of Technical Direction Letters (TDLs).

Download the Guidance Document

Final

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

Issue Date: August 11, 2022

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.