Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 280.5

Requests to Suspend the Appeals Process

Last amended: 2013Year: 2013Length: 79 wordsOfficial source
280.5 - Requests to Suspend the Appeals Process (Rev. 2729, Issued: 06-21-13, Effective: 07-23-13, Implementation: 07-23-13) The MAC does not have the authority to suspend redeterminations at the request of the Office of the Inspector General (OIG) or the Department of Justice (DOJ) without approval and direction from CMS central office (CO). If the OIG or DOJ submits a request to suspend a redetermination, the MAC shall first bring that request to the attention of CO through the RO.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 280.5: Requests to Suspend the Appeals Process | Justis AI