Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 110.2

Exhibit 2

Last amended: 2004Year: 2004Length: 111 wordsOfficial source
110.2 – Exhibit 2 (Rev. 45, 05-28-04) Medicare Program - Intermediary Part A and Part B Appeals Report - Form CMS-2591, Screen 2. INTERMEDIARY APPEALS REPORT INTERMEDIARY ID REPORTING PERIOD A. INTERMEDIARY APPEAL REQUESTS PART A RECONSIDERATIONS TOTAL SNF HHA/HOSPI CE OTHER (1) (2) (3) (4) PROCESSING TIMES 13. AVERAGE 14. NO. COMPLETED 1-45 DAYS 15. NO. COMPLETED 46-60 DAYS 16. NO. COMPLETED 61-90 DAYS 17. NO. COMPLETED 91-120 DAYS 18. NO. COMPLETED OVER 120 DAYS PENDING TIMES 19. CLOSING PENDING 20. NO. PENDING 1-45 DAYS 21. NO. PENDING 46-60 DAYS 22. NO. PENDING 61-90 DAYS 23. NO. PENDING 91-120 DAYS 24. NO. PENDING OVER 120 DAYS Form CMS-2591 Screen 2
Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 110.2: Exhibit 2 | Justis AI