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NOT FINAL UNDER CMS REVIEW APPENDIX K: Emergency Preparedness and Response and COVID-19 Addendum Background: This standalone appendix may be utilized by the state during emergency situations to request
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Not final under CMS refers to certain healthcare services or costs that have not been finalized or approved by the Centers for Medicare & Medicaid Services. This could include provisional payment levels or services still undergoing review.
Healthcare providers and organizations that receive Medicare and Medicaid reimbursements are typically required to file not final under CMS.
To fill out not final under CMS, providers must complete the designated CMS forms accurately by including relevant patient and service information, ensuring compliance with CMS guidelines.
The purpose of not final under CMS is to provide a mechanism for healthcare providers to report provisional services and costs that still require CMS review or approval before becoming finalized.
Information reported on not final under CMS typically includes patient demographics, service details, billing codes, and any provisional costs associated with the services provided.
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