Implementation Status
Prior to January 2013, the CY 2013 Medicare Physician Fee Schedule final rule, released by CMS in November 2012, addressed the elimination of the requirement for termination of non-random prepayment complex reviews in conjunction with the authority under this provision.
On October 18, 2013, CMS issued Change Request (CR) 8427, effective November 19, 2013, delineating instructions to MACs on the 100% prepayment review of providers consistent with the authority at this section of the ACA. A related transmittal, CR 8224, was released on September 30.