If you disagree with a Medicare penalty, surcharge, or decision not to cover your care, you have the right to appeal. There are multiple levels of available appeals for all parts of Medicare. You can ...

If Medicare does not agree to pay for a service or item that a person has received, they will issue a Medicare denial letter. Medicare can deny coverage for many different reasons. Medicare provides ...

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 ...

The rate of Medicare Advantage (MA) claims has escalated in recent years, prompting medical and government scrutiny of prior ...

Usually, a person or their healthcare professional must file a claim within a year of the person receiving care, but certain situations may extend timely filing. If Medicare rejects the claim, a ...

This notice announces an Office of Medicare Hearings and Appeals (OMHA) Medicare Appellant Forum. The purpose of this event is to provide updates to OMHA appellants on the status of OMHA operations; ...