; and (2) by adding at the end the following new subsection: (k) Review program improvements (1) In general (A) Guidelines (i) In general To promote uniformity and consistency in initial determinations and appeals decisions relating to the appropriateness of payment with respect to items or services furnished under this title, the Secretary shall establish claim review guidelines for review contractors for reviewing claims for payment submitted by providers of services and suppliers. (ii) Requirements Prior to the implementation of the claim review guidelines described in subparagraph (A)(i), the Secretary shall— (I) approve the claim review guidelines; (II) make the claim review guidelines publicly available as described in subparagraph (B); and (III) ensure that review contractors, Medicare magistrates, administrative law judges, and appropriate members of the Departmental Appeals Board are trained in the application of the claim review guidelines. (iii) Transition period The Secretary may provide for or establish one or more transition periods, during which the use of existing claim review guidelines for reviewing claims submitted by providers of services and suppliers shall be permitted to continue until such time as the Secretary is able to review and approve the claim review guidelines established under this subparagraph. (B) Transparency (i) In general The Secretary shall ensure that the information described in clause (iii)— (I) is published on the Internet website of the Department of Health and Human Services for not less than 30 days prior to its implementation; (II) remains available on such Internet website after such publication