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HHS/CMS RIN: 0938-AM73 Publication ID: Fall 2006 
Title: Revisions to the Appeals Process for Initial Claim Determinations (CMS-4064-F)  
Abstract: This final rule revises the Medicare appeals process by adding five levels of review. It will remove the distinction between the processing of initial determinations 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: Long-Term Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 401 and 405   
Legal Authority: Sec 521 of BIPA   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec 902  03/08/2008 
Timetable:
Action Date FR Cite
Interim Final Rule  03/08/2005  70 FR 11419   
Second Interim Final Rule  06/30/2005  70 FR 37700   
Third Interim Final Rule  08/26/2005  70 FR 50214   
Final Action  03/00/2008    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
Related RINs: Related to 0938-AK69 
Agency Contact:
Arrah Tabe-Bedward
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Mailstop S1-05-06, 7500 Security Boulevard,
Baltimore, MD 21244-1850
Phone:410 786-7129
Email: arrah.tabe-bedward@cms.hhs.gov

Katherine L. Hosna
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Mailstop C2-12-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4993
Email: katherine.hosna@cms.hhs.gov