Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 100.2
Appeals Function (Summary Level Code 12000) - (Rev. 1, 08-30-
100.2 - Appeals Function (Summary Level Code 12000) - (Rev. 1, 08-30-
02)
A1-1213.2, B1-4213.2
The appeals function includes the costs and workload(s) to efficiently and effectively
control and respond to requests for appeal of Medicare determinations. This includes all
Part A reconsiderations and ALJ hearings processed and all activities related to the Part B
review and hearing process. For intermediaries, the costs of provider appeals related to
cost report settlements should be included as part of the Provider Settlements activity in
the Audit function.