What steps do I need to take to appeal a denied Medicare claim? If you disagree with a coverage or payment decision made by Medicare, you can appeal, and you'll be happy to know that many appeals are ...

If Medicare does not agree to pay for a service or item that a person has received, they will issue a Medicare denial letter. Medicare can deny coverage for many different reasons. Medicare provides ...

Here are some basic steps for challenging Medicare coverage denials under Part A (including hospitalization, nursing homes and hospice services) and Part B (doctor visits, tests, home health care, ...

For many, Medicare Part A (hospitalization) and Medicare Part B (Medical) denials are due to reasons such as not meeting medical necessity; frequency limitations; and even basic coding mistakes.

After you receive a denial letter, you have the right to appeal Medicare’s decision. The appeals process depends on which part of your Medicare coverage was denied. Medicare may issue a denial letter ...

I’ve heard that as of April 30, 2018, we had to start using the new CMS-approved form for Medicare A denial notices. As a director of nursing services, what do I need to know? Most skilled nursing ...

The ins and outs of when to use an advance beneficiary notice is complex, but understanding it is crucial, Tony Mira wrote in a September blog post. Mr Mira laid out the key tips on how anesthesia ...

Audit activity is expanding in the nursing home sector, with improper payments rising and nursing homes continuing to lead in ...