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US · guidance

CMS Pub. 100-16, ch. mc86c17a, § 30.1.2

Definition of Final Determination

activein force · 2026-08-25 – presentas-observed

For purposes of this section, a final determination is deemed to occur:

• Upon the issuance of both a Notice of Program Reimbursement (NPR) which

includes:

1. A written demand for payment or

2. A written determination of an underpayment by CMS after the cost report is

filed;

• In the absence of a NPR, upon the issuance of either:

1. A written demand for payment or

2. A written determination of an underpayment by CMS after the cost report is

filed.

Except as required by any subsequent administrative or judicial reversal, interest will

accrue from the date of final determination as specified in this section.

History

(Rev. 17, 01-01-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
52c4ef5650460c0c15e8a816559abb2f5391390d1cf2aef7eda3815a94cb9079
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