Appeals, Reopenings, & Overpayments
- Claims / overpayment FAQs
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Tips / tutorials
Completing the Medicare Part A redetermination / reopening form
Documentation to include with Part A redeterminations
Completing the Medicare Part B redetermination / reopening form
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Self-service tool help guides:
- Avoid claim denials: Bill drug wastage correctly using the JW modifier
- Save valuable time: Avoid having to file an appeal for hyperbaric oxygen services
- Inpatient SNF services: Common denials and how to avoid them
- Appeals information on CMS.gov
- Medicare Appeals Process – MLN booklet
- CMS appeals process flow chart
Need to reach out? Click the button below to view appeals contact information or submit an online inquiry for general appeals assistance. Representatives are available Monday-Friday 8 a.m.- 4 p.m. ET/CT* (excluding holiday closings and training dates).