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This interim final rule implements provisions related to the calculation and submission of manufacturer’s average sales price (ASP) data for Medicare Part B drugs and biologicals.
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How to fill out CMS-1380-IFC

01
Obtain the CMS-1380-IFC form from the official CMS website or your local CMS office.
02
Fill out the 'Provider Information' section with your name, contact details, and provider type.
03
Complete the 'Service Information' section by detailing the services provided and the location.
04
Specify the number of patients served and any relevant data in the 'Patient Information' section.
05
Review the 'Eligibility and Authorization' section and provide necessary documentation or proof.
06
Fill out the 'Certification' section, ensuring accuracy in all the information you’ve provided.
07
Sign and date the form where required.
08
Submit the completed form to your local CMS office or via the designated submission method.

Who needs CMS-1380-IFC?

01
Healthcare providers who are seeking funding or reimbursement from Medicare or Medicaid.
02
Hospitals and clinics providing specific services eligible for CMS support.
03
Organizations involved in research or evaluation of healthcare services.
04
Any entity that needs to document eligibility for certain programs under CMS guidelines.
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CMS-1380-IFC is a form used by healthcare providers to report information related to specific services or encounters involving Medicare patients, particularly regarding inpatient facility claims.
Healthcare providers, including hospitals and other inpatient facilities that receive Medicare reimbursement for services provided, are required to file CMS-1380-IFC.
To fill out CMS-1380-IFC, providers must complete the form with accurate patient information, service details, and billing codes as specified in the instructions provided with the form.
The purpose of CMS-1380-IFC is to collect data for the CMS to evaluate and monitor the quality of care and services provided to Medicare beneficiaries in inpatient settings.
Information that must be reported on CMS-1380-IFC includes patient demographics, service dates, diagnosis codes, treatment codes, and other relevant clinical and administrative data.
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