Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.3

No Administrative or Judicial Review

Last amended: 2008Year: 2008Length: 101 wordsOfficial source
20.3 - No Administrative or Judicial Review (Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08) There is no administrative or judicial review for: • The awarding of contracts; • The establishment of payment amounts; • Designation of CBAs; • The phase-in of competitive bidding programs; • The selection of items for competitive bidding programs; or • The bidding structure and number of contract suppliers selected. A denied claim is not appealable if the denial is based on a determination by CMS that a competitively bid item was furnished in a CBA in a manner not authorized by 42 CFR 414 Subpart F.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.3: No Administrative or Judicial Review | Justis AI