US · guidance
CMS Pub. 100-04, ch. 30, § 140.8
Processing Physician Requests for Appeal
Where a physician requests an appeal, the contractor will notify the beneficiary as
discussed in §140.5. The appeal process consists of three stages, even though the
physician may be contesting only one issue (e.g., the physician may assert that he/she did
not know, and could not have reasonably have been expected to know, that Medicare
would not pay for the services).
History
(Rev. 1186, Issued: 02-23-07; Effective: 01-01-06; Implementation: 05-23-07)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
bea76ff5b558c50b974cc68839b34df62489a4dbc115249d2e393cb6e6c6e6a9
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