The brochure provides information on the Medicare Part A and Part B administrative appeals process for those who provide services to Medicare beneficiaries.
According to the AAPC release, changes for 2011 include the following:
• When requesting a redetermination, contractors can no longer correct minor errors and omissions on claims through the appeals process.
• The amount in controversy threshold for a third-level appeal administrative law judge hearing is $130.
• The amount in controversy threshold for a fifth-level appeal judicial review in U.S. district court is $1,300.
Providers can download the revised brochure here.
Read more on Medicare:
–10 Findings From the Latest AHA RAC Track Survey
–Tennessee Anesthesiologist Dr. Allen Foster Pleads Guilty to Overbilling Medicare
At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.
