CMS Specification of Alternative CCR

10.11.3.1 - CMS Specification of Alternative CCR (Rev. 1657, Issued: 12-31-08, Effective: 01-01-09, Implementation: 01-05-09) Effective January 1, 2009, the central office may direct Medicare contractors to use an alternative CCR if CMS believes this will result in a more accurate CCR. Also, if the Medicare contractor finds evidence that indicates that using data from the latest settled or tentatively settled cost report would not result in the most accurate CCR, then the Medicare contractor shall notify the CMS central office and CMS regional office to seek approval to use a CCR-based on alternative data. For example, CCRs may be revised more often if a change in a hospital or CMHC’s operations occurs which materially affects a hospital or CMHC’s costs and charges. The central and regional offices must approve the Medicare contractor’s request before the Medicare contractor may use a CCR-based on alternative data. Revised CCRs are applied prospectively to all OPPS claims processed after the update. Medicare contractors shall send notification to the central office via the following address and e-mail address: CMS C/O Division of Outpatient Care - OPPS Outlier Team 7500 Security Blvd. Mail Stop C4-05-17 Baltimore, MD 21244 outliersopps@cms.hhs.gov