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Medicare Compliance & Reimbursement

Appeals:

Remember the 5 Levels of the Medicare Appeals Process

Published on Thu Apr 04, 2019

Tip: First, try reopening a claim before you appeal. If you’re fuzzy on how to appeal a denied Medicare claim, it may be time to revisit the stages of the appeals process. Reopening and Redetermination Are Two Different Things As a Medicare provider, CMS allows you to appeal a claim decision you disagree with. “If a provider is dissatisfied and [...]
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