You must complete the Medicare Redetermination Request form if you’re appealing a claim denial by Medicare for the first time. This leads to the first phase of the Medicare appeals process. If you’re ...

Health insurance companies don’t always pay for items the first time coverage is requested, and they don’t cover everything they’re asked to. You, the consumer, may need to file an appeal to get the ...

Appealing a Medicare claim can be time-consuming and slow. Before going that route, talk with the doctor, hospital and Medicare to see if you can spot the problem and get the claim resubmitted. If you ...

If you have Original Medicare and disagree with a coverage or payment decision, or the amount of a claim that’s been paid, you can complete and return a Medicare appeal form. When a doctor, healthcare ...

Lots of health care service providers find themselves in the position of needing to file a Medicare appeal. Despite the systematic nature of modern Medicare billing, wrongful denials remain common, ...

AudioEducator will host a live audio conference on Medicare Appeal Process: Collect What Your Practice Really Deserves! This conference will be presented by renowned speaker Barbara J. Cobuzzi on ...

Dear Savvy Senior: How does one go about appealing Medicare when they won’t pay for something that has been covered in the past? — Denied Senior Dear Denied: If you disagree with a coverage or payment ...

Retirees are paying slightly higher premiums for Medicare Part B in 2025, with an increase of almost 6% from 2024. The premium rose to $185 in 2025, up $10.30 from $174.70 in 2024. Price hikes ...

Dear Savvy Senior: Is there anything I can do to reduce my high Medicare premium surcharges? Because of my past income, I pay $329.70 per month for my Part B premium and $64.50 a month for Part D, but ...

On March 15, 2020, Alex Azar, Secretary of the Department of Health and Human Services (“HHS”) issued Waiver or Modification of Requirements Under Section 1135 of the Social Security Act, available ...

Sometimes, Medicare makes mistakes, and Christopher Crowson has seen far more than his share. As the lead attorney for San Diego’s Health Insurance Counseling and Advocacy Program, Crowson has spent ...

It’s that time of year–when people already enrolled in Medicare make changes to their coverage–and this can be bit confusing and that’s why we have ...