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.

• 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