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New medicare process: limited appeal for elderly?(Practice Trends)

Publication: Skin & Allergy News

Publication Date: 01-SEP-05

Author: Frieden, Joyce
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COPYRIGHT 2005 International Medical News Group

A new process for appealing Medicare coverage denials is raising concern among some advocates for senior citizens.

"We're concerned about the ability of beneficiaries to get a fair and favorable hearing," said Vicki Gottlich, senior policy attorney at the Center for Medicare Advocacy, a Mansfield, Conn.-based group that helps beneficiaries with the appeals process. Under the new process, which began on July 1, beneficiaries and providers whose claims are denied will be asked to appeal their claims to an administrative law judge (ALJ) via teleconference. Previously, these appeals were made in person.

"Older people and people with disabilities will...

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