Monday, December 11, 2023

Expedited Appeals


Beneficiaries in original Medicare have access to a fast-track, expedited review process when Medicare coverage of their SNF, HHA, CORF, or hospice services is about to end.  The requirement for these expedited reviews stems from section 1869(b)(1)(F) of the Social Security Act (the Act), as amended by section 521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA), Public Law 106--554.

For more information, see the Expedited Determination Appeals Process (Some Part A claims only) section in the Original Medicare (Fee-for-service) Appeals page of the CMS website. 

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