Appealing a Medicare or Insurance Denial

By: Robert Weiss, M.S., Chair NLN Legislative Committee

In my July-September, 2011 column, I dealt with Medicare rules for filing an initial claim for reimbursement for Medicare lymphedema services, with hints I have found useful in facilitating subsequent successful appeals of claim denials. In this follow-up column I will outline the statutory Medicare appeals process and focus on hints to maximize your chances of overturning lymphedema coverage denials