Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 90.4.10
Administrative and Judicial Review
90.4.10 - Administrative and Judicial Review
(Rev. 280, Issued 08-13-04, Effective/Implementation: October 1, 2004 for the
analysis and design phases for the MCS Maintainer and A/B MACs (B)
January 1, 2005 for the coding, testing, and implementation phases for the MCS
Maintainer and A/B MACs (B)
January 1, 2005 for all phases for the VIPS Maintainers and A/B MACs (B)
Per Section 413(b)(1) of the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003, there shall be no administrative or judicial review
respecting:
•
The identification of a county or area;
•
The assignment of a specialty of any physician;
•
The assignment of a physician to a county; or
•
The assignment of a postal zip code to a county or other area.