- Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations)
- Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations)
- Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations)
- About Appeals
- About Appeals
- About Appeals
- Reopening versus Redetermination
- Who May File an Appeal
- Who May File an Appeal
- Who May File an Appeal?
- Who May File an Appeal?
- Levels of Appeals and Time Limits for Filing
- What Documents are Needed
- What Documents are Needed
- MSP Overpayments
- Submit an Adjustment to Correct Claims Partially Denied by Automated LCD-NCD Denials
- What Documents are Needed
- Submit an Appeal Electronically with NGSConnex
- Submit an Appeal Electronically via esMD
- Initiate Part B Reopenings or Non-MSP Overpayment Adjustments in NGSConnex
- Submit an Appeal Electronically via esMD
- What Documents are Needed
- Submit an Appeal Electronically via esMD
- Get Help Submitting an Appeal Hard Copy
- Get Help Submitting an Appeal Hard Copy
- Get Help Submitting an Appeal Hard Copy
- Submit an Appeal Electronically with NGSConnex
- Submit an Appeal Electronically via esMD
- Get Help Submitting a Appeal Hard Copy
- How to Prevent Duplicate Appeal and Clerical Error Reopening Requests in NGSConnex
- How to Avoid Costly Appeals
MSP Overpayments
If you are appealing or correcting a claim that you have received an overpayment on because Medicare paid as the primary insurer and another insurance carrier should be the primary payer, follow the instructions on the Medicare Part B MSP Overpayment Request form. Do not use the Redetermination or Reopening Form for these type of requests.
Helpful Resources
Log Into NGSConnex
Appeals Timeline Calculator
YouTube Video: Holistic Approach to Avoiding Administrative Burden
Form(s) you'll need: