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Levels of Appeals and Time Limits for Filing |
Time Limits for Each Level of Appeal
The time limits for filing appeals vary according to the type of appeal:
Weekends and Holidays
When the filing deadline for a redetermination ends on a Saturday, Sunday, legal holiday, or any other nonwork day, the MAC shall apply a rollover period that extends the filing deadline to the first working day after the Saturday, Sunday, legal holiday, or other nonwork day. For example, if the filing deadline for a redetermination falls on the Saturday before Columbus Day, the filing deadline is extended to the first working day after the Columbus Day holiday.
Where to File an Appeal
Level |
Part A |
Part B |
DME |
Redetermination |
MAC |
MAC |
MAC |
Reconsideration |
QIC |
QIC |
QIC |
ALJ Hearing |
HHS OMHA Central Operations |
HHS OMHA Central Operations |
HHS OMHA Central Operations |
Appeals Council |
Appeals Council |
Appeals Council |
Appeals Council |
Federal Court |
Federal Court |
Federal Court |
Federal Court |
Reference
Medicare Claims Processing Manual
Chapter 29 – Appeals of Claims Decisions
§ 240 - Time Limits for Filing Appeals & Good Cause for Extension of the Time Limit for Filing Appeals
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About Us Zachary Edgar JD, LLM is the managing partner for Therapy Comply. Zachary is a healthcare attorney that specializes in federal and state healthcare regulatory issues particularly for physical, occupational, and speech therapy practices. | Join Us Join today as a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars. Members also have access to compliance and billing support. |