Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 100.2

Appeals Function (Summary Level Code 12000) - (Rev. 1, 08-30-

Last amended: 2002Year: 2002Length: 85 wordsOfficial source
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.
Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 100.2: Appeals Function (Summary Level Code 12000) - (Rev. 1, 08-30- | Justis AI