Denied Medicare Claims

Most Denied Medicare Claims can be appealed

There are 2 types of Medicare plans; the Original Medicare Plan and the Medicare Managed Plan.
There is also a Medicare prescription drug plan.
Millin Medical of New York can help you appeal your denied medicare claims.

The appeal rights for denied medicare claims for original Medicare are listed on the back of the explanation of benefits. If you think that your health could be seriously harmed
while simply waiting for a service or decision about a medicare service,
you can ask the plan for a fast decision or fast appeal which they must reply to within 72 hours.

If you are on Medicare and in the Hospital or receiving care at an outpatient rehabilitation facility or services from a home health care agency, you have a right to get all the medical care
and follow-up care that you need. There are laws to protect the medicare patient
who thinks their Medicare-Covered services are ending too soon.
Ask for a Fast-Track review by the Quality Improvement Organization or a quick Q10 review.

Some common reasons for denied medicare claims are; ineligibility, incorrect information, coordination-of-benefits issues, duplicate claims and missing information.

In October of 2008, Medicare will stop paying hospitals for "reasonably preventative"
or never events that should never happen in a hospital. These are events such as objects left in the body during surgery, air embollisms, blood incompatibility, vascualr-catheter associated infections, mediastinitis, urinary tract infections, pressure ulcer sores, and injuries from patient falls in a hospital.

All of the Medical Billing Experts at Millin Medical can help you process and/or appeal to
and finally get paid for all of those denied medicare claims.