(Medicare Claims Processing Manual Crosswalk)

Sect Int. Pub.13-3 Carrier Pub.14-3 OPT Pub. 09 HO Pub. 10 HH Pub. 11 SNF Pub. 12 HSP Pub. 21 RHC Pub. 27 OTHER Description29 60.19.4  12026.4        Acknowledgment of Request for Part B ALJ Hearing 29 60.19.5 12026.5 Model Format for Acknowledgment of ALJ Hearing Request 29 60.20 12028 Effectuation Of Part B Administrative Law Judge (ALJ) Decisions/Dismissals 29 60.20.1  12028.1        Review and Effectuation of ALJ Decisions - General 29 60.20.2  12028.2        Effectuation Time Limits 29 60.20.3  12028.3        ALJ Data Extraction Form 29 60.20.4  12028.4        Misrouted ALJ Case Files 29 60.20.5  12028.5        Duplicate ALJ Decisions 29 60.21 12029 Recommending Agency Referral Of Part B ALJ Decisions Or Dismissals To The CMS RO  29 60.21.1 12029.1 Time Limits for Forwarding Agency Referral Memorandum to CMS RO 29 60.21.2  12029.2        Guidelines for Reviewing ALJ Decisions/Dismissals 29 60.21.3  12029.3        Draft Agency Referral Memorandum Content 29 60.21.4  12029.4        Draft Memorandum Format 29 60.21.5 12029.5 Submission of Draft Agency Referral Memorandum to CMS RO 29 60.22  12032        Effectuation Of DAB Orders And Decisions 29 60.22.1 12032.1 Background29 60.22.2  12032.2       PM-AB-01-62 Requests for Case Files 29 60.22.3 12032.3 Cont ractor Effectuation Responsibilities Chap.                                                                                               Sect Int. Pub.13-3 Carrier Pub.14-3 OPT Pub. 09 HO Pub. 10 HH Pub. 11 SNF Pub. 12 HSP Pub. 21 RHC Pub. 27 OTHER Description29 60.22.4          Payment of Interest on DAB Decisions 29 60.23  12033        Request For U.S. District Court Review By A Party 29 60.24  12034        Effectuation Of U.S. District Court Decisions 29 60.24.1          Payment of Interest on U.S. District Court Decisions 29 60.25 12040 Review And Analysis o Initial Determinations And Appeal  29 60.27 12100 Reopening and Revision of Claims Determinations and Decisions 29 60.27.1  12100.1        Development of Appeals 29 60.27.2  12100.2        How Issues May Arise 29 60.27..3 12100.3 Summary of Conditions Under Which a Determination or Decision May Be Reopened 29 60.27.4 12100.4 Determining Date of Initial or Reviewed Determination, or HO's Decision 29 60.27.5 12100.5 Who May Reopen an Initial or Reviewed Determination or HO's Decision 29 60.27.6 12100.6 Actions to Permit Reopening Within the l-Year or 4-Year Period 29 60.27.7  12100.7        Good Cause for Reopening 29 60.27.8 12100.8 Definitions29 60.27.9 12100.9 Unrestricted Reopening29 60.27.10  12100.10        Reopening an Initial Decision 29 60.27.11  12100.11        Reopening a Review Determination Chap.                            Sect Int. Pub.13-3 Carrier Pub.14-3 OPT Pub. 09 HO Pub. 10 HH Pub. 11 SNF Pub. 12 HSP Pub. 21 RHC Pub. 27 OTHER Description29 60.27.12  12100.12        Reopening a Fair Hearing Decision 29 60.27.13  12100.13        Notice of Results of Reopening 29 60.27.14 12100.14 Exception to Sending Notice of Revision to Parties--Cases Involving Limitation on Recovery from Beneficiary 29 60.27.15  12100.15        Refusal to Reopen Is Not an "Initial Determination" 29 60.27.16  12100.16        Revised Determination or Decision 29 60.28  12999        List of Exhibits 29 70 12900 Glossary