Medicare
Medicare appeal changes were implemented in 2005 that expanded providers’ rights and guaranteed prompt responses to appeals as well as qualified, independent reviews at upper-level appeals. Limitations have been added, however, that apply to the presentation of new evidence in high-level provider appeals, so it is important to gather and reference all applicable information in the early stages of the appeal. Appeal Solutions provides an overview of important aspect of the Medicare Appeal process.
Topic Areas for Medicare:
Internal Medicare Compliance Oversight
Medicare offers a number of publications and tools to assist with compliance oversight. Make sure your medical billing staff has access to the following information. . . .more >>
Medicare Appeals Process
See our detailed information about the four levels in the Medicare Appeals Process. . . .more >>
Geriatric Treatment And Medical Necessity Issues
Geriatric care involves a number of unique issues which must be addressed in most Medicare medical necessity appeals. See our tips for assessing and discussion medical necessity in Medicare Appeals. . . .more >>
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