MM12546: Expedited Review Process for Hospital Inpatients in Original Medicare
This new Article comprises Subregulatory Guidance on how Medicare patients can appeal determinations that inpatient care is no longer necessary and Medicare Claims Processing Manual updates concerning expedited reviews. Staff should know this is a reformatting of the current instructions and there are no policy or instructional changes. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR12546 that is posted on the CMS website at https://www.cms.gov/files/document/r11210cp.pdf-0
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 21, 2022
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.