Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 140.8.1
Appeal of the Denial or Reduction in Payment
140.8.1 - Appeal of the Denial or Reduction in Payment
(Rev. 1186, Issued: 02-23-07; Effective: 01-01-06; Implementation: 05-23-07)
The first part of the appeal is a new, independent, and critical reexamination of the facts
regarding the denial or reduction in payment. If the contractor finds that the initial denial
or reduction in payment was appropriate, the contractor will go on to §140.8.2.