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Last Modified: 6/11/2020 Location: FL, PR, USVI Business: Part B

What happens when a redetermination or reconsideration appeal is requested

Q. What happens when a redetermination or reconsideration appeal is requested?
A. After notice of a valid appeal request, if limitation of recoupment (Section 935 of the Medicare Modernization Act) provisions apply, all collection activities are ceased, including the withholding of future claim payments. Interest, however, will continue to accrue during the appeal process.
For specific details, refer to MLN Matters article external pdf file, revised September 12, 2008.
Source: CMS change request 6183
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First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.