New Monthly Adjustment Process for Prospective Payment System (PPS) Hospital Interim Bills Verifying Patient Status and Service Dates
The purpose of this Change Request (CR) is to implement a new monthly adjustment process for PPS Hospital inpatient claims in order to enforce correct interim billing procedures by requiring PPS hospitals to verify the patient status and correct application of benefit days, for interim bills that have not been adjusted, canceled, or continued within 90 days after finalization for payment.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 10, 2026
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