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HHS/CMS RIN: 0938-AT62 Publication ID: Spring 2018 
Title: ●Changes To the Medicare Claims, Medicare Advantage Organization Determination, and Medicare Prescription Drug Coverage Determination Appeals Procedures (CMS-4174-P) 

This proposed rule would streamline the claims appeals process and reduce associated burden on providers, beneficiaries, and appeals adjudicators. The rule would also include technical changes to correct cross references, inconsistent definitions, and other errors in appeals regulations.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
EO 13771 Designation: Deregulatory 
CFR Citation: 42 CFR 405    42 CFR 422    42 CFR 423   
Legal Authority: 42 U.S.C. 1395   
Legal Deadline:  None
Action Date FR Cite
NPRM  08/00/2018 
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:
Joella Roland
Social Science Research Analyst
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C2-12-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-7638