Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 70.22

Completing Lines Twelve through Seventeen - Reason for Denial

Length: 191 wordsOfficial source
70.22 - Completing Lines Twelve through Seventeen - Reason for Denial Recommendation (Inactive) (Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24) A3-3898.22 Line 12 - Sanctioned From Medicare - The intermediary enters the number of applications that you recommended for denial because the applicant is currently excluded/sanctioned from Medicare. Line 13 - Debarred/Excluded by Other Federal Agency - The intermediary enters the number of applications that you recommended for denial because the applicant had been disbarred, suspended, or excluded by any other Federal agency. Line 14 - Not Professionally Licensed - The intermediary enters the number of applications that you recommended for denial because the applicant was not professionally licensed. Line 15 - Business Address Invalid - The intermediary enters the number of applications that you recommended for denial because the applicant had an invalid business address. Line 16 - Business Location Not Licensed - The intermediary enters the number of applications that you recommended for denial because the applicant=s business location was not properly licensed. Line 17 - CMS Requirements Not Met - The intermediary enters the number of applications that you recommended for denial because the applicant did not meet all CMS requirements.
Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 70.22: Completing Lines Twelve through Seventeen - Reason for Denial | Justis AI