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Back  RFI # 1225: 5010 278X217 HCR01

Formal vs. Informal Help Informal Formal

Submitter

Minnie White

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?

Submitter Assigned Keywords

278 HCR01

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.
Submission 1/12/2011
Status Date 3/11/2011
Status F - Final
Primary References
Document 005010X217
Section2.5
Page374
Set ID278
Table2
Loop2000E
Segment Position0500
Segment IDHCR
Element Position01
Industry NameAction Code