Address All Redetermination Denial Reasons in Reconsideration Request

Suppliers are reminded to review all elements of the redetermination letter to understand the reasons for denial of the appeal. The "Explanation of Decision" section of the letter outlines the reasons for denial and the policies that must be met for the item to be considered for payment. All denial reasons within the redetermination letter must be addressed when submitting to reconsiderations, the next level of appeal. Addressing all denial reasons will assist in receiving a favorable outcome at the next level of appeal. See Elements of a Redetermination Letter for full details.

            Last Updated Tue, 13 Oct 2020 17:24:19 +0000