The Medicare Appeals Process – Review of Ophthalmology

Appealing a claim can be daunting. Here’s how to navigate the process, should you need to make an appeal.

This article addresses the following questions:

  • One of my Medicare claims was denied and now I need to appeal. How does the Medicare Appeals process work?
  • I found out I have to appeal something formally.  What’s the first level of the appeal process?
  • I lost a first-level appeal.  What can I do next if I want to pursue it further?
  • I lost part of the second-level appeal. What’s next?
  • Can you summarize how to be successful when formally appealing?

This article was published in Review of Ophthalmology’s Medicare Q & A column, which is written by Corcoran’s Senior Consultant, Paul M. Larson, MBA, MMSc, COMT, COE, CPC, CPMA. To view the entire article in Review of Ophthalmology, click on the link below:

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