On July 8, multiple changes to Medicare appeals rules took effect. Those revisions range from removing the requirement of the appellant’s signature for appeal requests to giving the Centers for Medicare & Medicaid Services the flexibility to designate who receives notices of hearings on CMS’s behalf and disseminates notice of the hearing to the Qualified Independent Contractor and other CMS contractors. The rule aims to “streamline the claims appeals process and reduce associated burden on providers, beneficiaries, and appeals adjudicators,” it says. See the 20-page final rule www.govinfo.gov/content/pkg/FR-2019-05-07/pdf/2019-09114.pdf.