ExchangeAdministrativeLow impact
R13890PI: Revisions to Chapter 12 (The Comprehensive Error Rate Testing (CERT) Program) and Exhibit 46 in the Exhibits Chapter of Publication (Pub.) 100-08 (Medicare Program Integrity Manual)
Medicare/CMS - Transmittals·CMS Transmittal
We identified it
Jul 31, 2026
Summary
This policy document is a reference guide for Federally-facilitated Marketplace (FFM) agents and brokers, providing contact information for help desks, call centers, and resource websites. It does not contain substantive changes to Medicare billing, coding, or claims processing that would affect medical billing operations at a healthcare practice.
Action Required
No action required for medical billing operations. This document is relevant only to FFM agents and brokers assisting consumers with ACA marketplace enrollment. Healthcare practice billing teams should disregard this document as it does not address Medicare program integrity, CERT program procedures, or medical billing processes.