At a hearing with an administrative law judge, the provider must ...

[V@ndy87]

At a hearing with an administrative law judge, the provider must prove:
 
  a. unusual circumstances.
  b. that there were errors on the initial submission.
  c. that there are errors in the denial.
  d. that timely submission was not an issue.

Question 2

Reconsideration on the record means that the provider:
 
  a. goes to a hearing in person.
  b. gives supporting appeal documentation to be reviewed.
  c. turns over the medical record for review.
  d. reconsiders the appeal.

[Pswine]

Answer to Question 1

Answer: a

Answer to Question 2

Answer: b