Medicare Revises Their Appeals ProcessBy Wyn Staheli, Director of Research
May 06, 2019 On April 12, 2019, Medicare announced that there will be some changes to their appeals process effective June 13, 2019. According to the MLN Matters release (see References), the following policy revisions in the Medicare Claims Processing Manual (MCPM), Chapter 29 are taking place:
Of all these revisions, unless you are in a disaster area, the ones that will primarily affect most appeals are:
The ongoing problem of the backlog of appeals necessitated some of the changes to MCPM. Throughout Chapter 29, there are numerous references to the Attorney Adjudicator Review at the Office of Medicare Hearings and Appeals (OMHA) as well as the Administrative Law Judge (ALJ). share
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