Alert detail

CMS Transmittal R13854OTN: Implementation of Editing for Programs of All-Inclusive Care for the Elderly (PACE) Inpatient…

Policy ID: CMS-T-R13854OTNSpecialty: Inpatient (IPPS)Added: 7/3/2026Effective: April 6, 2026billing update

Routine

What changed

CMS implements new claim edits for PACE inpatient billing.

Who’s affected: Inpatient (IPPS) billing teams · Effective: April 6, 2026

Primary source: View the official CMS/MAC document ↗

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