What to do if Part A Medicare issues a denial?

Anytime that you have a medical procedure done or appointment made you will have to issue a claim to Medicare to cover the cost.  Like any of your Medicare benefits, all services that you have done on you are subject to approval for payment.  So what do you do if you are denied payment for a service that has been performed on you or for you?

Once you receive the notice that the claim has been denied you will have all that you need to respond to the decision.  This form, known as a Medicare Summary Notice (MSN) will have the information on it explaining how to issue your appeal.  This first level appeal, also known as a redetermination, will determine whether or not you have to pay the demand.

It is possible to win an appeal and have your claim paid in the end, so don’t refrain from issuing an appeal just because you think it is impossible.  Issue an appeal if you feel it is necessary and include all information that supports your contentions.  Don’t simply take the first word on if your Medicare benefits will pay, follow up and appeal all questionable decisions.

Filed under: General-Medicare

Tags: General-Medicare, Medicare Part A, medicare part a denial