US · guidance
CMS Pub. 100-06, ch. 6, § 110.2
Exhibit 2
Medicare Program - Intermediary Part A and Part B Appeals Report - Form CMS-2591, Screen 2.
INTERMEDIARY APPEALS REPORT
INTERMEDIARY ID
REPORTING PERIOD
A. INTERMEDIARY APPEAL
REQUESTS
PART A RECONSIDERATIONS
TOTAL
SNF
HHA/HOSPI
CE
OTHER
(1)
(2)
(3)
(4)
PROCESSING TIMES
13. AVERAGE
14. NO. COMPLETED 1-45 DAYS
15. NO. COMPLETED 46-60 DAYS
16. NO. COMPLETED 61-90 DAYS
17. NO. COMPLETED 91-120
DAYS
18. NO. COMPLETED OVER 120
DAYS
PENDING TIMES
19. CLOSING PENDING
20. NO. PENDING 1-45 DAYS
21. NO. PENDING 46-60 DAYS
22. NO. PENDING 61-90 DAYS
23. NO. PENDING 91-120 DAYS
24. NO. PENDING OVER 120
DAYS
Form CMS-2591 Screen 2
History
(Rev. 45, 05-28-04)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
a7d556b0347555bd0041c5c68b78c7e9e5526f23fb9321e0fc9393d813cd1102
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