CMS offers overview on Medicare/Medicaid appeals
The Centers for Medicare and Medicaid Services (CMS) has created a free brochure outlining the five levels of the Medicare Part A and Part B appeals process. The overview describes the process and provides details on where to get more information about Medicare appeals.
"The Medicare Appeals Process: Five Levels to Protect Providers, Physicians, and Other Suppliers" is aimed at informing anyone who provides services and supplies to Medicare beneficiaries about the levels of appeals and where to find out more.
Section 521 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) included provisions aimed at improving the Medicare fee-for-service appeals process. Part of these provisions mandate that all second-level appeals (for both Part A and Part B), also known as reconsiderations, be conducted by qualified independent contractors (QICs).
The reconsiderations that are conducted by the QICs have replaced the hearing officer hearing process for Medicare Part B claims, and established a new, second level of appeal for Medicare Part A claims.
The brochure is available as a free download at www.cms.hhs.gov/MLNProducts/downloads/MedicareAppealsProcess.pdf.
The Centers for Medicare and Medicaid Services (CMS) has created a free brochure outlining the five levels of the Medicare Part A and Part B appeals process. The overview describes the process and provides details on where to get more information about Medicare appeals.You have reached your article limit for the month. Subscribe now to access this article plus other member-only content.
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