decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Medicare_Carriers_Manual / 14030 / 14030.11_APPEALS_PROCESS
Subscribe or sign in to view the full article.
Article Overview
This brief Medicare Carriers Manual article covers the appeals process for excluded or sanctioned providers and identifies the organization responsible for processing hearing requests. It is useful for compliance, billing, and administrative staff who need a high-level understanding of where appeals are handled and the general subject of the guidance.
Why This Topic Matters
Understanding the appeals process helps providers and administrative teams know that sanction-related decisions may be reviewed through a formal channel and which federal body handles hearing requests.
What You Will Learn
- The general purpose of the appeals process in sanction-related cases.
- Which organization processes hearing requests from sanctioned providers.
- The administrative context for excluded provider appeals.
- The article’s scope within the Medicare Carriers Manual.
Who Should Read This
- Medical coders
- Billing staff
- Compliance officers
- Provider enrollment staff
- Healthcare administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com