Methodology Updates Sample Clauses

Methodology Updates. If CMS modifies the methodology used to calculate SNF PPS payments under original Medicare (that is Medicare Part A and Part B) or the Medicare Advantage Program, United will update its methodology, used to calculate Facility’s Reimbursement Rate for services provided by Facility to Enrolled Eligible Veterans to be consistent with CMS methodology. This update will occur as close to the CMS effective date as is reasonably possible, but in no case later than 45 days after the effective date of CMS’ modification. Except, if the effective date is earlier than the date on which CMS places information regarding a modification in the public domain (for example, a retroactive modification or a change to a previously announced modification), United will update its methodology within 45 days after the date on which CMS places that information in the public domain. United will not adjust claims for which payment has correctly been made in accordance with the applicable CMS Payment Method in effect prior to United’s update.