tci General Surgery Coding Alert - 2024 Issue Q2

Reader Questions: Heed Medicare Redetermination Timelines

Question: We’re nearing the 120-day limit for submitting a redetermination request to Medicare for a claim decision we are contesting. Is there any flexibility with this deadline or is it possible to request an extension? AAPC Forum Participant Answer: You are correct that the Centers for Medicare & Medicaid Services (CMS) gives providers filing a redetermination — the first level of the Medicare appeals process — 120 days from the date of the initial determination notice to submit a request. However, “CMS allows a grace period of an additional five days beyond the time limit of 120...

To read the full article, sign in and subscribe to tci General Surgery Coding Alert.


Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1999 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci General Surgery Coding Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.