Managed Care Nursing

Category - Patient Issues

Which of the following level is used by providers in the Medicare appeals process?
  1. Reconciliation
  2. Reapplication
  3. CMS representative hearing
  4. Review by Medicaid appeals board
  5. Hearing by an administrative law judge
Explanation
Answer: E-A hearing by any administrative law judge is one of the five levels of the Medicare appeals process used by providers.
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