Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 150.5.2.1

Denial of Payment in Advance

Last amended: 2008Year: 2008Length: 67 wordsOfficial source
150.5.2.1 - Denial of Payment in Advance (Rev. 1587, Issued: 09-05-08, Effective: 03-03-08, Implementation: 03-01-09) Denial of payment in advance under §1834(a)(15) of the Act refers both to cases in which the supplier requested an advance determination and the contractor determined that the item would not be covered, and to cases in which the supplier failed to request an advance determination when such a request is mandatory.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 150.5.2.1: Denial of Payment in Advance | Justis AI