What do you do when Medicare won’t pay for something that they’ve covered in the past? — Denied Dave
If you think Medicare should have paid for, or did not pay enough for, an item or service you received, you can appeal. And you’ll be happy to know that most people win, so it’s definitely worth your time. Here’s what you should know.
According to the Medicare Rights Center, 80 percent of Medicare Part A appeals and 92 percent of Part B appeals turn out in favor of the person appealing. The main reason for the high success rate is because many denials are a result of simple billing code errors made in the doctor’s office. But it’s also important to keep in mind that Medicare will only cover goods and services that are deemed “medically necessary.”
How to appeal.....
What to do when Medicare says ‘No’ - Living - Bradenton.com
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