The Centers for Medicare & Medicaid Services (CMS) has updated the Appeals of Claims Decisions chapter of the Medicare Claims Processing Manual. The changes will be effective beginning July 23, 2013. The updates were enacted to ensure consistency with provisions of the Final Rule issued December 9, 2009, to improve and clarify operating instructions and language, and to reinstate sections that were removed during previous manual updates.
• Additional terms in the glossary;
• Supplementary examples such as detailed conditions and examples that may establish good cause for late filing by beneficiaries, providers, physicians, or other suppliers;
• Links to relevant forms.
To download a full copy of the updated manual, click here.