Neurology & Pain Management Coding Alert

Reader Questions:

I.D. all 5 Levels of Medicare Denial Appeals

Question: I filed a claim for a Part B patient with my Medicare Administrative Contractor (MAC), but it was rejected by Medicare. I intend to challenge this decision. Can you explain the different levels of the Medicare appeals process? Alaska Subscriber Answer: The Medicare appeals process consists of five stages. Prior to initiating an appeal, you need a claim that Medicare has [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.