CMS Provides information on FFS Medicare Accelerated Payments

March 22, 2024

In response to the disruption to claims submission and payment caused by the Change Healthcare situation, the Department of Health and Human Services (HHS) instructed Medicare Administrative Contractors to implement an accelerated payment program. Hospitals and providers can receive advance lump sum payment based on their historical Medicare claim payment volumes. Noridian is required to decide on applications within five business days of their submission. Funds advanced will be recouped later from paid claims. This program benefits hospitals and providers in cases where a large proportion of their Medicare fee-for-service payments have been disrupted due to the Change Healthcare issues. This program is for Medicare fee-for-service only and does not apply to Medicare Advantage or other payors.

Providers should use the request for Change Healthcare/Optum payment disruption (CHOPD) Accelerated Payment to Part A Providers and Advance Payments to part B Suppliers [DOCX] template to submit a request. The template must be initialed for all certification of facts and signed by the provider’s authorized official that is legally able to make financial commitments and assume financial obligations on behalf of the provider/supplier. Completed CHOPD Accelerated/Advance Payment request should be sent to  JF-reimb@noridian.com or faxed to 701-277-6572.

For additional information please refer to CMS Fact Sheet Change Healthcare/Optum Payment Disruption (CHOPD) Accelerated Payments to Part A Providers and Advance Payments to Part B Suppliers [PDF] and a fact sheet of Frequently Asked Questions.

If you have questions for WSHA, please contact Andrew Busz at andrewb@wsha.org.  Please contact Noridian directly if you have questions regarding the application or the conditions. (Andrew Busz, andrewb@wsha.org).

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