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2019-05-07
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Medicare Program; Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures
Rules and Regulations
D09002ee1c163c374
D09002ee1c163dff0
United States
Department of Health and Human Services
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United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
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org
United States Government Agency or Subagency
This final rule revises 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 help to streamline the appeals process and reduce administrative burden on providers, suppliers, beneficiaries, and appeal adjudicators. These revisions, which include technical corrections, also help to ensure the regulations are clearly arranged and written to give stakeholders a better understanding of the appeals process.
84 FR 19855
https://www.govinfo.gov/app/details/FR-2019-05-07/2019-09114
2019-09114
fr07my19-1
RIN 0938-AT27
4120-01-P
CMS-4174-F
https://www.govinfo.gov/app/details/FR-2019-05-07/2019-09114
https://www.govinfo.gov/content/pkg/FR-2019-05-07/html/2019-09114.htm
https://www.govinfo.gov/content/pkg/FR-2019-05-07/pdf/2019-09114.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
20 p.
19855
19874
84 FR 19855
Code of Federal Regulations
Title 42 Part 405
42 CFR Part 405
Code of Federal Regulations
Title 42 Part 423
42 CFR Part 423
Regulation Identification Number 0938-AT27
RIN 0938-AT27
Medicare Program; Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures; Federal Register Vol. 84, Issue
RULE
2019-09114
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
2019-07-08
CMS-4174-F
4120-01-P
2019-09114
Final rule.
This final rule revises 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 help to streamline the appeals process and reduce administrative burden on providers, suppliers, beneficiaries, and appeal adjudicators. These revisions, which include technical corrections, also help to ensure the regulations are clearly arranged and written to give stakeholders a better understanding of the appeals process.
These regulations are effective on July 8, 2019.
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
,
https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/M-17-21-OMB.pdf
Federal Register
Vol. 84, no. 88
Office of the Federal Register, National Archives and Records Administration
2019-05-07
continuing
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161 p.
Table of Contents:
AE 2.7:
GS 4.107:
AE 2.106:
KF70.A2
https://www.govinfo.gov/app/details/FR-2019-05-07
P0b002ee1a0f5611f
0097-6326
0042-1219
0364-1406
769-004-00000-9
000582072
f:fr07my19
https://www.govinfo.gov/app/details/FR-2019-05-07
https://www.govinfo.gov/content/pkg/FR-2019-05-07/pdf/FR-2019-05-07.pdf
https://www.govinfo.gov/content/pkg/FR-2019-05-07/xml/FR-2019-05-07.xml
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2019-05-07
2023-10-04
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FR-2019-05-07
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