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.
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