Clerical Error Form Medicare

State:
Mississippi
Control #:
MS-62388
Format:
Word; 
Rich Text
Instant download

Description

A motion is a written request to the court to take a certain action. The court will either grant or deny the motion in accordance with law and court rules. This document, a Motion to Correct a Clerical Error Pursuant to Rule 60(a), is a model motion requesting the named action from the court (or a general motion form). Adapt to fit your facts and circumstances. Available for download now in standard format(s). USLF control no. MS-62388
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  • Preview Motion to Correct a Clerical Error Pursuant to Rule 60a
  • Preview Motion to Correct a Clerical Error Pursuant to Rule 60a

How to fill out Mississippi Motion To Correct A Clerical Error Pursuant To Rule 60a?

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FAQ

Yes, the claims reopening process is specifically for simple corrections or omissions that do not require additional documentation. More complicated issues must be submitted in writing. The redetermination form is used for the first level appeal and the reconsideration form for the second level appeal.

Requesting a Redetermination Fill out the form CMS-20027 (available in ?Downloads? below). Make a written request containing all of the following information: Beneficiary name. Medicare number. Specific service(s) and/or item(s) for which a redetermination is being requested. Specific date(s) of service.

Yes, the claims reopening process is specifically for simple corrections or omissions that do not require additional documentation. More complicated issues must be submitted in writing. The redetermination form is used for the first level appeal and the reconsideration form for the second level appeal.

A clerical error/omission reopening is an action taken to change an initial determination to correct minor errors or omissions outside of the Medicare appeal process.

A request for a clerical error reopening would be submitted to correct minor errors or omissions of claim specific information. CMS defines clerical errors (including minor errors or omissions) as human or mechanical errors on the part of the party or the contractor such as: Mathematical or computational mistakes.

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Clerical Error Form Medicare