CMS Finally Finalizes Medicare Claims Appeal Procedures


The appeal of Part A and B claims denied by Medicare contractors, including the RACs, is subject to a process that was revised by an interim final rule with comment period issued on March 8, 2005, pursuant to a proposal published on November 15, 2002. On December 9, 2009, CMS finally addressed the 26 comments that it received in 2005 and finalized the rule in a 43-page Federal Register publication [PDF]. Other than technical revisions (e.g., "days" vs. "calendar days" and "final" vs. "final and binding"), CMS did not make any substantive change that affects appeal rights, deadlines, format, etc. This is one final rule that you can place on the back burner. --

Paul W. Kim and Mark A Stanley, Ober|Kaler

LOADING PDF: If there are any problems, click here to download the file.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Baker Donelson | Attorney Advertising

Written by:


Baker Donelson on:

Readers' Choice 2017
Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:

Sign up to create your digest using LinkedIn*

*By using the service, you signify your acceptance of JD Supra's Privacy Policy.

Already signed up? Log in here

*With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name. Or, sign up using your email address.