NSA I-Tact
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Cooling ineligibility
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Cooling ineligibility
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- Is anyone having issues with the final offer counts not
corresponding with the initiated counts? We have had several disputes
with this problem most recent 41 charges were initiated but only 25 are
listed in the final offer link. No email from the IDRE flagging any
as ineligible. From what we can determine it relates to the same 30 business day batching requirement which per Bob Jasek does not apply to a cooling batch.Language that allows you to batch cooling off claims together even if they weren’t furnished within 30 days of each other:
· Preamble: Under the “batching” rules, here is how the Departments state the timing requirement for a batch: “all the qualified IDR items and services must have been furnished within the same 30-business-day period, or the 90-calendar-day suspension period.” The Departments elaborate: “Therefore, if items or services are furnished within the 90-calendar-day suspension period and meet the other applicable requirements, they may be submitted and considered jointly as part of one payment determination by a certified IDR entity, once the suspension period has ended.”
CFR: “All the qualified IDR items and services were furnished within the same 30- business-day period, or the same 90-calendar-day period under [paragraph (c)(4)(vi)(B)] of this section, as applicable.” FYI: bracket is because this appears in the CFR several times with different paragraph references because of how this is repeated throughout the statute several times
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