Pub. 100-04, Chapter 29 - Appeals of Claims Decisions - Revisions

MLN Matters Number: MM11042
Related CR Release Date: April 12, 2019
Related CR Transmittal Number: R4278CP
Related Change Request (CR) Number: 11042
Effective Date: June 13, 2019
Implementation Date: June 13, 2019

CR11042 incorporates the following policy updates to the Medicare Claims Processing Manual:

  • The policy on use of electronic signatures
  • Timing of signatures on transfer of appeal rights and the appointment of representative forms
  • Tolling an adjudication timeframe when trying to cure a defective appointment form
  • Limiting scope of redetermination review in certain instances
  • Application of good cause for late filing involving beneficiary accessibility
  • Application of good cause where there is a declared disaster

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11042.

Last Updated Apr 16, 2019