Question

Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has recently reviewed her Medicare Summary Notice (MSN) and disagrees with a determination that partially denied one of her claims for services. What advice would you give her

Answer 1

Answer:

Mrs. Duarte should file an appeal of this initial determination within 120 days of the date she received the MSN in the mail.

Explanation:

A notice is being sent to all clients with original medicare once every three months. This notice will contain all the Medicare Part A and Part B services which the individual has used or attached to the persons portfolio withing Thisntine period. The report is usually detailed, covering the name of services used, the supplier or providers balance, the amount covered by Medicare and that which is to be cleared by the recipient. Therefore. If there is a perceived mistake or error, the individual should send a mail to to refute this claim before 3 months (prior to the roll out of the nest notice). This will allow for investigation and possible correction prior to the best mail being sent out.