Posts Tagged ‘medically necessary’

What Do You Do When Medicare Says ‘No’

Your doctor suggests you have a minor operation procedure. You took your doctor’s advice and you went ahead with the procedure. However, Medicare won't pay for it. What is your recourse? Appeal. Medicare covers procedures that are deemed medically necessary. "Appealing is easy and most people win so it is worth your while to challenge a Medicare denial," says the Medicare Rights Center, a national nonprofit organization. The denial of coverage may be due, for example, to a simple coding error in your doctor's office. People have a strong chance of winning their Medicare appeal. According to Center, 80 percent…

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