Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.5.4

Documenting the Telephone Reopening

Last amended: 2006Year: 2006Length: 149 wordsOfficial source
10.5.4 - Documenting the Telephone Reopening (Rev. 1069, Issued: 09-29-06, Effective: 11-29-06, Implementation: 11-29-06) The information received during the telephone reopening (especially the date of the call) must be either: (1) documented on a reopening documentation form; or (2) logged into the contractor’s computer system. All documentation must be assigned a control number. Any additional documentation received must be recorded into the contractor system or attached to the form. The telephone reopening control number is recorded on all documents received that are associated with the telephone reopening, if applicable. The documents are included in the file. Although documentation should rarely be necessary during a telephone reopening, the documentation must be made a part of the file and be available if an appeal is requested based on any revised determination issued as a result of the reopening. All documentation should be maintained in a manner that allows for future audits.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 34 § 10.5.4: Documenting the Telephone Reopening | Justis AI