APPEALS: Is there a time limit for filing an appeal?

APPEALS: Is there a reference sheet to determine what constitutes an appeal?

APPEALS: We are a large group with many physicians and nonphysician practitioners. When we submit claims for nonphysician practitioners working in different sub-specialties, we get claim denials that state: “D463: New patient qualifications were not met or M13: Only one initial visit is covered per specialty per medical group.” How can we avoid these?

APPEALS: What is a Medicare appeal?

APPEALS: What is the appeal process?

APPEALS: What is the solution to avoiding claim denials?

APPEALS: What is the best way to get duplicate denials paid on appeal?

Understanding the Approval Recommendation Process for Certified Providers

Understanding the Approval Recommendation Process for Certified Providers The certified provider completes and submits a CMS-855 enrollment application and all supporting documentation to its MAC, including any state require documentation [...]