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.