Wednesday, August 4, 2021
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CMS proposes changes to Medicare claims appeals process

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that would revise certain requirements for Medicare Parts A, B and D claims appeals.

The proposed rule is intended to reduce regulatory burden and improve clarity and consistency in the appeals process. Among the provisions, CMS proposes to eliminate the requirement that appellants sign appeal requests and change the timeframe for vacating dismissals to 180 calendar days.

CMS is also proposing a number of provisions to address regulations it believes require additional clarification, including correcting technical errors and omissions and removing regulatory requirements identified as redundant. A number of technical corrections are proposed, including references to new Medicare beneficiary identification numbers and regulatory cross-references to previously finalized regulations.

Comments on the proposed rule are due Dec. 3.

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