Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 310.3

Reporting Redetermination on the Appeals Report

Last amended: 2013Year: 2013Length: 82 wordsOfficial source
310.3 - Reporting Redetermination on the Appeals Report (Rev. 2729, Issued: 06-21-13, Effective: 07-23-13, Implementation: 07-23-13) The MAC is required to report all appeals related data and information on the CMS Appeals Report. The Report is intended to capture information on appeal requests, including other correspondence that is determined to be a request for redetermination. Correspondence that initially appears to be an inquiry, but is determined to be an appeal request, must be reported as a redetermination receipt and not an inquiry.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 310.3: Reporting Redetermination on the Appeals Report | Justis AI