January 23, 2001

Medi-907-01

TO: ALL MEDICARE PROVIDERS

SUBJECT: APPEALS

PRIMARY INTERESTS: BUSINESS OFFICE MANAGERS

EFFECTIVE DATE: JANUARY 31, 2001

 In an effort to manage incoming appeals in FY 2001 with the given resources, HCFA has provided guidance relative to processing appeals. Incoming appeal requests submitted without necessary supporting documentation will be given secondary priority to appeal requests submitted with appropriate documentation. Consequently, determinations or decisions on appeal requests that are submitted without appropriate documentation to support the contention that the initial determination was incorrect will be delayed.

THIS BULLETIN SHOULD BE SHARED WITH ALL HEALTH CARE PRACTITIONERS AND MANAGERIAL MEMBERS OF THE PROVIDER STAFF. NO COST COPIES ARE ALSO AVAILABLE FROM OUR WEB SITE AT riverbendgba.com

Please refer any questions to our office toll free at 877-296-6189.