Section title: Requests for Interpretation
RFI #
1225
5010 278X217 HCR01
Description

5010 278X217, 2000E, HCR01 Action Code in Response
If HCR01 is valued with A2 Certified - Partial at the Patient Event level, can this response be appealed? I am trying to determine what if any additional actions could occur with this patient event response. My assumption is that any appeals would be done at the Service Level, is that a valid assumption?

RFI Response

The assumption that any appeals would be done at the Service Level is not implied. This request could be appealed at either the 2000E or 2000F loop.

DOCUMENT ID
005010X217