tci Part B Insider - 2005 Issue 42

Part B Coding Coach: 4 Must-Know Steps Keep You Ahead Of Appeals Process Changes

Medicare will now dismiss all incomplete appeals--but you have 3 options for addressing a dismissalYou might think you know the Medicare appeals process like a well-worn path, but starting Jan. 1 you'll have some new twists and turns to navigate. "Medicare has a specific five-step formalized appeal process which is changing as of Jan. 1, 2006 for physician billing," says Barbara J. Cobuzzi, MBA, CPC, CPC-H, CHBME of CRN Healthcare Solutions in Tinton Falls, NJ. The changes--such as minimum amounts necessary for an appeal, timeframes, authorities and methods of decision notification--aren't drastic, but could cost you both time...

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