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Clarification of Unsolicited Response and Auto Adjustment of Claims under CR 6001 for the Medicare Acute Care Episode (ACE) Demonstration

Business requirements 6001.103, 6001.104, and 6001.105 are modified to incorporate a procedure for identifying and correcting claims erroneously processed as “no-pay” claims under the ACE demonstration. All other sections of CR 6001, of CR 6771 will remain unchanged.

Download the Guidance Document

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

Issue Date: April 23, 2010

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.