OIG: First-Level Medicare Appeals Up 33% From 2008 to 2012

Contractors processed 2.9 million redeterminations involving 3.7 million claims for Medicare Parts A and B in 2012, a 33 percent increase compared with 2008, according to a report from the HHS Office of Inspector General.

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The study was the OIG’s first examination of Medicare Part A and B redeterminations — the first level of the appeals process for Medicare claims. The OIG surveyed 18 contractors and interviewed five of them to learn about processing redeterminations, which may involve multiple claims and service types.

 

Read the full article on Becker’s Hospital Review.

 

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