Reprinted with Permission from the Medical Association of the State of Alabama

With the increased audit activity we are seeing among the alphabet soup of Medicare contractors- RACs, ZPICs, SMRCs, CERTs, etc.-now appears to be a good time for a refresher on the Medicare claims appeals process. Due to this increased audit activity, more and more claims are being denied, both under pre-payment review and post-payment review. This article provides an overview on the Medicare claims appeals process, as well as some tips and pointers to keep in mind.

Download the full article, "Medicare Claims Appeals Process--A Refresher" written by Kelli C. Fleming.