Examples of Fiscal Intermediary in a sentence
Prepayment Review Requirements for MACs When a MAC receives requested documentation for prepayment review within 45 calendar days of the date of the ADR, the MAC shall do the following within 30 calendar days of receiving the requested documentation: 1) make and document the review determination and 2) enter the decision into the Fiscal Intermediary Shared System (FISS), Multi-Carrier System (MCS), or the VIPS Medicare System (VMS).
An organization providing only evaluation, assessment, coordination, skills training, peer supports, and Fiscal Intermediary services will not be considered a provider of LTSS.
This can be achieved either by providing the call center directly or through other state contracted entities (e.g. ADRCs, Fiscal Intermediary).
Claims under the TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC) will be adjudicated under the rules set forth below.
Thirty calendar days prior to each audit, the contractor shall invite the Regional Director (RD), or for the TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC) the Contracting Officer’s Representative (COR), to monitor and/or participate in the audit.