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HHS/CMS RIN: 0938-AM73 Publication ID: Spring 2004 
Title: Revisions to the Appeals Process for Initial Claim Determinations (CMS-4064-FC) 
Abstract: This final rule will revise the Medicare appeals process by adding five-tiered (five levels) of review. It will remove the distinction between the processing of initial determination and appeals under part A and part B required by section 521 of Benefits Improvement and Protection Act of 2000 (BIPA). 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Undetermined  Unfunded Mandates: Undetermined 
CFR Citation: 42 CFR 40S     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: Sec 521 of BIPA   
Legal Deadline:  None
Timetable:
Action Date FR Cite
Final Action  05/00/2005    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal 
Federalism: No 
Included in the Regulatory Plan: Yes 
Related RINs: Related to 0938-AK69 
Agency Contact:
Janet Miller
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
N2-14-26, S1-06-04, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1588