Federal (United States) · Agency guidance
Chapter 34
27 sections
27 sections
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10Reopenings and Revisions of Claims Determinations and Decisions -
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.1Authority to Conduct a Reopening
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.2Refusal to Reopen Is Not an Initial Determination
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.3Reopenings of Denials Based on an Unanswered Additional
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.4Reopenings Based on Clerical or Minor Errors and Omissions
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.4.1Providers Submitting Adjustments
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.5Telephone Reopenings - Required for A/B MACs (B) Only
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.5.1Informing the Provider Communities About the Telephone
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.5.2Issues for Telephone Reopenings
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.5.3Conducting the Telephone Reopening
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.5.4Documenting the Telephone Reopening
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.5.5Monitoring the Telephone Reopening
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.6Timeframes to Reopen Claim Determinations
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.6.1Timeframes for Contractor Initiated Reopenings
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.6.2Timeframes for Party Requested Reopenings
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.6.3Timeframes for Adjudicator to Reopen
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.6.4Timeframes When a Party Requests an Adjudicator Reopen
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.7Timeframes to Complete a Reopening Requested by a Party
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.8Notice of a Revised Determination or Decision
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.9Revised Determination or Decision
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.10Effect of a Revised Determination or Decision
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.11Good Cause for Reopening
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.11.1What Constitutes New and Material Evidence
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.11.2Policies Related to Good Cause Reopenings for New and
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.11.3What Constitutes Error on the Face of the Evidence
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.12Change in Substantive Law or Interpretative Policy
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.13System and Processing Requirements for Use of Secure Internet