Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.11.3
What Constitutes Error on the Face of the Evidence
10.11.3 - What Constitutes Error on the Face of the Evidence
(Rev. 1671, Issued: 01-16-09; Effective/Implementation Date: 02-16-09)
Error on the face of the evidence exists if it is clear that the determination or decision was
incorrect based on all evidence in file on which the determination or decision was based,
or any evidence of record anywhere in the contractor’s Medicare file or in CMS files at
the time such determination or decision was made.