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User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Creation of a New Claim Edit to Stop Creation of a Tenth Adjustment

The purpose of this Change Request (CR) is to stop the creation of a tenth adjustment since there is no valid qualifier.The tenth adjustment will process as a replicate claim, and it will pay the full amount instead of reducing payment by what was previously paid on the ninth adjustmnent including interest calculated back to the original date of receipt on the claim.

Download the Guidance Document


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

Issue Date: January 25, 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.