Identify any documents that you feel are necessary for the appeal

Question
Instructional Objectives for this activity:
Assess Medicare coverage
In this week’s learning activities, you were introduced to Medicare. Like other programs, Medicare has a process for appeals. Individuals have the right to appeal disputes and denials of payment.

Using Microsoft Word, prepare a document in APA format that responds to Review Question 9 at the end of Chapter 5 in your text, following all instructions in the text as well as the instructions below.

Your response must be analytical and apply the law that you are learning.

You will be assessed on the nature and scope of your research and the depth of analysis in your response. Use Google to find an example of a memo format.

Your completed assignment should be 2 page(s) in length.

Reference all sources.

*You are a paralegal at Health Care Lawyers, LLC, which represents Healthy Living Partners, Inc., a DME company that supplies motorized wheelchairs. Healthy Living Partners has been denied a claim, numbered DCN# 00456789-D, for payment for a motorized wheelchair. The claim was already reviewed once and the denial notice, dated June 13, 2007, stated that the wheelchair was not “medically necessary” for the patient. Healthy Living Partners has received a number of denials of payment for similar claims and the company fears that it will go out of business if it cannot recover payment. Prepare a memo, outlining the steps of the appeal process. Be sure that you include relevant time limits and references to any outside sources. Identify any documents that you feel are necessary for the appeal


 

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