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May 7, 2019

Medicare Program; Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures

This final rule revises the regulations setting forth the appeals process that Medicare beneficiaries, providers, and suppliers must follow in order to appeal adverse determinations regarding claims for benefits under Medicare Part A and Part B or dete…

Filed Under: Administrative practice and procedure, Emergency medical services, Health facilities, Health maintenance organizations (HMO), Health professions, Medical devices, Medicare, Penalties, Privacy, Reporting and recordkeeping requirements, Rural areas, X-rays

October 2, 2018

Medicare Program: Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures

This proposed rule would revise the regulations setting forth the appeals process that Medicare beneficiaries, providers, and suppliers must follow in order to appeal adverse determinations regarding claims for benefits under Medicare Part A and Part B…

Filed Under: Administrative practice and procedure, Emergency medical services, Health facilities, Health maintenance organizations (HMO), Health professions, Medical devices, Medicare, Penalties, Privacy, Reporting and recordkeeping requirements, Rural areas, X-rays

July 27, 2018

Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program

This major proposed rule addresses changes to the Medicare physician fee schedule (PFS) and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services,…

Filed Under: Administrative practice and procedure, Biologics, Drugs, Health facilities, Health maintenance organizations (HMO), Health professions, Health records, Kidney diseases, Laboratories, Medicaid, Medical devices, Medicare, Penalties, Reporting and recordkeeping requirements, Rural areas, X-rays

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