Chủ Nhật, 14 tháng 1, 2024

Problematic Trends in Level 2 Medicare Appeal Outcomes

Level 2 part C and part D appeal data suggests that the rate of inappropriate denials reaching that stage (inappropriate in the sense that the original denials merit overturn according to QICs) is inequitably distributed among services and conditions.

For example, cancers and other expensive treatments are unsurprisingly inappropriately denied far more often than claims corresponding to cheaper, less dire situations.

https://blog.persius.org/blog/medicare_partc&d_qic_appeals



https://ift.tt/kGOVzUs Submitted January 14, 2024 at 01:39AM by tpafs https://ift.tt/OSuMmr8

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