US · guidance
CMS Pub. 100-06, ch. 4, § 120
Monitoring Accounts Receivable that are in a Redetermination or Reconsideration Status
The MAC shall develop controls to monitor accounts receivable (ARs) that are in the first
(redetermination) or second (reconsideration) level of appeal. ARs that are in either level of appeal are
subject to limitations on recoupment as mandated by Section 935(f)(2)(a) of the Medicare Modernization
Act of 2003. The MAC shall monitor these ARs to make sure the “days in status” are not greater than
120. If the “days in status” are greater than 120, the MAC shall research the appeal to determine the
status/decision of the appeal and update the AR’s status accordingly.
History
(Rev. 261, Issued: 01-29-16, Effective: 03-01-16, Implementation: 03-01-16)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
a005e494b9cbc3abe1a76d2a52066ede419d76fd35ae56edc16e7534400429a3
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