Crosswalk Doc 020508

CROSSWALK DOC 020508 .doc

Notice of Provider Non-Coverage (CMS-10123) and Detailed Explanation of Non-Coverage (CMS-10124)

CROSSWALK DOC 020508

OMB: 0938-0953

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REVISIONS TO THE EXPEDITED REVIEW NOTICES


Category

Section

Change/Reason

Effect to Reporting Burden

Lessons learned

Page 1

The revised Notice of Provider Non-Coverage and Detailed Explanation of Provider Non-Coverage will no longer require use of the beneficiary’s Medicare number as a patient identifier. Instead, providers may use a number that helps to link the notice with a related claim when applicable. This field is now optional and choosing not to enter a number will not invalidate the notice.


None

Lessons learned

Page 2

Changed the term “authorized representative” to “representative” in order to broaden the scope of representatives to include those appointed by other means (e.g. power of attorney, guardianship, etc.).

None


File Typeapplication/msword
File TitleREVISIONS TO THE EXPEDITED REVIEW NOTICES
AuthorCMS
Last Modified ByArrah Tabe-Bedward
File Modified2008-02-05
File Created2008-02-05

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