McKnight's April 12, 2024
Providers hoping that policy makers might some day show more backbone when dealing with Medicare Advantage plans can take heart. Well, at least a little.
There are signs that blood is flowing, though it’s not always apparent whether it’s going to the brain or some nether region.
Last week, the Centers for Medicare & Medicaid Services revised the appeals process for Medicare Advantage beneficiaries who have been denied coverage. Finally.
In brief, beneficiaries no longer will be required to pay for the cost of their treatment if they do not appeal quickly enough, nor if their appeal fails. For those who would earnestly file appeals over inconceivable coverage denials, or puzzling short lengths of stay, this is very good news.
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