May 28, 2021
In this blog post we discuss how to file an appeal with Original Medicare or your Medicare Advantage Plan. What is an appeal? An appeal is a formal request for review of a decision made by Original Medicare or your Medicare Advantage Plan. If you are denied coverage for a health service or item, you […]
December 6, 2018
If you’re a Medicare beneficiary or caring for someone who’s on Medicare, you may at times ask yourself, “Who do I call to report a quality of care concern?” Problems can come up wherever health care providers interact with patients including hospitals, nursing facilities, doctors’ offices and at home. Generally, Medicare beneficiaries can use two procedures—one at the federal level and the other at the state level—to report quality of care concerns. Your state SHIP program can help assess quality of care concerns and decide how to proceed.