United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2018_register executive 2018-10-02 article Proposed Rules D09002ee1c7e096c1 D09002ee1c7e097f6 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This proposed rule would revise the regulations setting forth the appeals process that Medicare beneficiaries, providers, and suppliers must follow in order to appeal adverse determinations regarding claims for benefits under Medicare Part A and Part B or determinations for prescription drug coverage under Part D. These changes would help streamline the appeals process and reduce administrative burden on providers, suppliers, beneficiaries, and appeal adjudicators. These revisions, which include technical corrections, would also help to ensure the regulations are clearly arranged and written to give stakeholders a better understanding of the appeals process. 83 FR 49513 https://www.govinfo.gov/app/details/FR-2018-10-02/2018-21223 2018-21223 fr02oc18-22 RIN 0938-AT27 4120-01-P CMS-4174-P https://www.govinfo.gov/app/details/FR-2018-10-02/2018-21223 https://www.govinfo.gov/content/pkg/FR-2018-10-02/html/2018-21223.htm https://www.govinfo.gov/content/pkg/FR-2018-10-02/pdf/2018-21223.pdf Administrative Practice and Procedure Diseases Health Facilities Health Professions Medical Devices Medicare Reporting and Recordkeeping Rural Areas X-Rays Administrative Practice and Procedures Emergency Medical Services Health Maintenance Organizations (Hmo) Penalties Privacy Reporting and Recordkeeping Requirements 17 p. 49513 49529 83 FR 49513 Title 42 Part 405 42 CFR Part 405 Title 42 Part 423 42 CFR Part 423 RIN 0938-AT27 Medicare Program: Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures; Federal Register Vol. 83, Issue PRORULE 2018-21223 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2018-12-03 CMS-4174-P 4120-01-P 2018-21223 Proposed rule.

This proposed rule would revise the regulations setting forth the appeals process that Medicare beneficiaries, providers, and suppliers must follow in order to appeal adverse determinations regarding claims for benefits under Medicare Part A and Part B or determinations for prescription drug coverage under Part D. These changes would help streamline the appeals process and reduce administrative burden on providers, suppliers, beneficiaries, and appeal adjudicators. These revisions, which include technical corrections, would also help to ensure the regulations are clearly arranged and written to give stakeholders a better understanding of the appeals process.

To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on December 3, 2018. Joella Roland, (410) 786-7638 or Nishamarie Sherry, (410) 786-1189. Administrative Practice and Procedure Diseases Health Facilities Health Professions Medical Devices Medicare Reporting and Recordkeeping Rural Areas X-Rays Administrative Practice and Procedures Emergency Medical Services Health Maintenance Organizations (Hmo) Penalties Privacy Reporting and Recordkeeping Requirements Medicare Program: Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures , http://www.regulations.gov https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/M-17-21-OMB.pdf Vol. 83, no. 191 Office of the Federal Register, National Archives and Records Administration 2018-10-02 continuing daily deposited born digital 318 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2018-10-02 P0b002ee19d1d3a95 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr02oc18 https://www.govinfo.gov/app/details/FR-2018-10-02 https://www.govinfo.gov/content/pkg/FR-2018-10-02/pdf/FR-2018-10-02.pdf https://www.govinfo.gov/content/pkg/FR-2018-10-02/xml/FR-2018-10-02.xml fdlp 49459 49768 DGPO 2018-10-02 2024-06-01 FR-2018-10-02 machine generated eng FR FR-2018-10-02 83 191