Overview
One area of Medicare that remains little understood by the average consumer is the appeals process and the rights of Medicare recipients to ask for reconsideration of a decision by Medicare or their Medicare Advantage or Part D plan. The purpose of this course is to provide a comprehensive study of the Medicare appeals process so producers and advisors can help guide their clients through that process if it were to become necessary or advisable.
Learning Objectives
- Understand how Medicare claims are submitted and reviewed
- Identify the standards for initial Medicare cost and coverage decisions
- Recognize common causes of negative Medicare decisions
- Appeal negative decisions for Original Medicare, Medicare Advantage, and Medicare Part D plans
- Appeal the imposition of an income-related monthly adjustment amount (IRMAA) on Medicare Part B and/or Part D premiums
- Appeal premium penalties for late Medicare enrollments
Designed For
Life and health insurance producers and finance professionals
Find this course for your license:
License or Certification
Regulator
Type