View Rule
View EO 12866 Meetings | Printer-Friendly Version Download RIN Data in XML |
HHS/OS | RIN: 0991-AC02 | Publication ID: Spring 2015 |
Title: ●Medicare Program: Changes to the Medicare Claim, Organization Determination, and Coverage Determination Appeals Procedures | |
Abstract:
This proposed rule would make changes to procedures for Medicare fee-for-service claim appeals, managed care organization determination appeals, and prescription drug plan coverage determination appeals to increase administrative efficiencies and set forth procedures that will help position the administrative appeals process to address the increasing number of appeal in a manner that is responsive to appellants’ needs for timely determinations on Medicare coverage and payment while maximizing the efficiencies in administering the appeals programs. |
|
Agency: Department of Health and Human Services(HHS) | Priority: Substantive, Nonsignificant |
RIN Status: First time published in the Unified Agenda | Agenda Stage of Rulemaking: Proposed Rule Stage |
Major: Undetermined | Unfunded Mandates: No |
CFR Citation: 42 CFR 405 42 CFR 422 42 CFR 417 42 CFR 423 42 CFR 478 | |
Legal Authority: 42 U.S.C. 1395pp 42 U.S.C. 1395ff 42 U.S.C 1395w-22 42 U.S.C. 1395mm 42 U.S.C. 1395w-104 42 U.S.C. 1320c-a |
Legal Deadline:
None |
|||||||||||||||
Timetable:
|
Regulatory Flexibility Analysis Required: No | Government Levels Affected: None |
Federalism: No | |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: Jason M. Green Director, OMHA Program Evaluation and Policy Division Department of Health and Human Services Office of the Secretary Suite 1800, 1700 N. Moore Street, Arlington, VA 22209 Phone:703 235-0124 |