Change in Process for Fully Favorable Appeal Determinations

In accordance with the CMS direction, National Government Services Appeals Operations for J6 and JK will no longer send a Medicare Redetermination Notice when the review results in a fully favorable determination. However, if the request for the appeal was submitted by an authorized representative of the beneficiary or the provider, letters will continue to be sent. Once the favorable determination adjustment has processed, providers will be notified via the remittance advice.