Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 90.5.7
Administrative and Judicial Review
90.5.7 - 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(a) 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.