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Research Article  |   June 1988
Appealing Medicare Denials
Author Affiliations
  • Lori T. Andersen, MS, OTR, was Director of Occupational Therapy at Bon Secours Hospital–Villa Maria Nursing Center, North Miami, Florida, at the time this article was written. She is now in private practice. (Mailing address: 3040 South Oakland Forest Drive, Apt. 2604, Oakland Park, Florida 33309.)
Article Information
Advocacy / Features
Research Article   |   June 1988
Appealing Medicare Denials
American Journal of Occupational Therapy, June 1988, Vol. 42, 353-358. doi:10.5014/ajot.42.6.353
American Journal of Occupational Therapy, June 1988, Vol. 42, 353-358. doi:10.5014/ajot.42.6.353
Abstract

Because of the government’s recent emphasis on controlling health care costs, health care providers have been receiving many more denials for payment of services rendered to Medicare beneficiaries than in the past. Often the denials are not justified and should be appealed. This article explains the step-by-step procedure in the Medicare appeals process and gives suggestions for presenting a case so that a denial will have a good chance of being overturned.