Last Modified: 12/22/2017 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 https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads//MM6183.pdf , revised September 12, 2008.
Source: CMS change request 6183
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