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Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents (NFI) - Updates and Clarifications

The purpose of this Change Request (CR) is to update the demonstration and provide further clarification to the Medicare Administrative Contractors (MACs), and give the MACs access to the NFI contractor's documentation for reviewing appeals on demonstration claims.

The purpose of this Change Request (CR) is to update the demonstration and provide further clarification to the Medicare Administrative Contractors (MACs), and give the MACs access to the NFI contractor's documentation for reviewing appeals on demonstration claims.


The purpose of this Change Request (CR) is to update the demonstration and provide further clarification to the Medicare Administrative Contractors (MACs), and give the MACs access to the NFI contractor's documentation for reviewing appeals on demonstration claims.


The purpose of this Change Request (CR) is to update the demonstration and provide further clarification to the Medicare Administrative Contractors (MACs), and give the MACs access to the NFI contractor's documentation for reviewing appeals on demonstration claims.

Download the Guidance Document

Final

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

Issue Date: May 12, 2021

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.