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Vendor Management, Payments, and Collections (VMPC) FAQ

Guidance for FAQ regarding Payment Processing and Payment Reports

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

Issue Date: September 11, 2015

Program Area: Vendor Management, Payments, and Collections (VMPC)

Question: Is there a situation where the Preliminary Payment Report (PPR) and the HIX 820 transaction will not be identical?

Answer: The only case in which the PPR and the HIX 820 would not be identical would be if there were an offset stemming for an unpaid charge from a previous month. An offset also occurs when the Department of the Treasury subtracts a debt owed from an Issuer's deposit. In such a situation, the amount deposited into an Issuer's account and the amount represented in the HIX 820 transaction would not be equal.

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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.