(Medicare Claims Processing Manual)

Rev #  Issue Date  Subject  Impl Date  CR#  R1688CP  02/20/2009  Clarification of the Medicare Redetermination Notice for Partly or Fully Unfavorable Redetermination 03/20/2009  6302 R1676CP  01/30/2009  Change in the Amount in Controversy Requirement for Administrative Law Judge Hearings and Federal District Court Appeals  05/04/2009  6295 R1485CP  03/28/2008  Chapter 29 Clean -Up 07/07/2008  5899 R1457CP  02/22/2008  Redeterminations of Overpayments  03/24/2008  5859 R1437CP  02/05/2008  Change in the Amount in Controversy Requirement for Administrative Law Judge Hearings and Federal District Court Appeals  05/05/2008  5897 R1408CP  01/11/2008  Modification to the Model Medicare Redetermination Notice (for partly or fully unfavorable redeterminations)  02/11/2008  5836 R1329CP  08/31/2007  Modifications to the Timeliness Requirements for Contractors Forwarding Reconsideration Requests Submitted to the Wrong Contractor  10/01/2007  5602 R1276CP  06/29/2007  Waiving Medicare Fee -for-Service Appeals Requirements  07/30/2007  5322 R1274CP  06/29/2007  Appeals of Claims Decisions: Appointment of Representatives; Fraud and Abuse; Guidelines for Writing Appeals Correspondence; Disclosure of Information  10/01/2007  5460 R1229CP  04/27/2007  Modification to the Model Medicare Redetermination Notice (for partly or fully unfavorable redeterminations) and the ALJ Filing Locations Where the Place of Service Was in Delaware, Kentucky, Puerto Rico, Virginia, &/or the US Virgin Islands  07/02/2007  5554   Rev #  Issue Date  Subject  Impl Date  CR#  R1211CP  03/30/2007  Change in the Amount in Controversy Requirement for Federal District Court Appeals  07/02/2007  5518 R1136CP  12/22/2006  Revisions to Procedure to Establish Good Cause and Qualified Independent Contractor Jurisdictions  04/02/2007  5386 R1069CP  09/29/2006  Reopenings and Revisions of Claim Determinations and Decisions  11/29/2006  4147 R985CP  06/16/2006  Appeals Updates  06/01/2006  5058 R862CP  02/17/2006  Appeals of Claims Decisions: Administrative Law Judge; Departmental Appeals Board; U.S. District Court Review  03/17/2006  4152 R724CP  10/21/2005  Appeals of Claims Decisions: Redeterminations and Reconsiderations Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006 12/16/2005  3939 R697CP  10/07/2005  Appeals of Claims Decision: Redeterminations and Reconsiderations (Implementation Date: May 1, 2005)  01/09/2006  3942 R695CP  10/07/2005  General Appeals Process in Initial Determinations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006)  01/09/2006  4019 R688CP  09/23/2005  Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for All Requests for Redetermination Received by FIs on or After May 1, 2005 and All Requests for 12/16/2005  3944   Rev #  Issue Date  Subject  Impl Date  CR#  Redetermination Received by Carriers on or After January 1, 2006)  R687CP  09/23/2005  Appeals of Claims Decisions: Redeterminations and Reconsiderations Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006 12/16/2005  3939 R679CP  09/16/2005  Medicare Redetermination Notice and Effect of the Redetermination  12/19/2005  4006 R678CP  09/16/2005  Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for All Requests for Redetermination Received by FIs on or After May 1, 2005 and All Requests for Redetermination Received by Carriers on or After January 1, 2006)  12/16/2005  3944 R677CP  09/16/2005  Appeals of Claims Decisions: Redeterminations and Reconsiderations Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006 05/01/2005  3939 R675CP  09/16/2005  Changes to Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Date: October 1, 2005)  10/03/2005  3943 R381CP  11/26/2004  Revisions and Corrections to Chapter 29 of the IOM Claims Processing Manual -Appeals  01/10/2005  3127 R1CP  10/01/2003  Initial Release of Manual  N/A N/A Back to top of Chapter