Skip Navigation

d

Link to HHS Link to HHS
  Home |  FAQs |  Screen Reader Version |  Español  |  Mailing List
 
Medicare.gov site Flag Logo
    The Official U.S. Government Site for People with Medicare

MyMedicare.gov   Click this padlock image to see more information about MyMedicare.gov security
Secure Sign In
This is an optional and free service
learn more | sign up

Prescription Drug Plan

Medicare & You 2008

Am I Eligible?

Medicare Billing 

Medicare Appeals 

Long-Term Care 

Plan Choices 

Preventive Services 

Personal Health Records 

Address Change

Replacement Card

Medicaid Enrollment

Provider Information

Ombudsman 

Emergency

Glossary

Privacy Practices

Medicare Online Forms

Search Tools



Link to Department of Health and Human Services Website
Start Content

Medicare Appeals Information

E-mail This Page E-mail This Page
Welcome to the Medicare Appeals section of our website. Please visit one of the links below for detailed information regarding the appeals process, downloadable appeals forms, and appeals of Local Coverage Determinations.


Qualified Independent Contractors The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 included provisions aimed at improving the Medicare appeals process.  Part of these provisions mandate that all second-level appeals, also known as reconsiderations, be conducted by Qualified Independent Contractors (QICs). Please visit this site for more information on QICs.

Right to a Fast-track Review for People in Medicare Advantage Plans (formerly Medicare + Choice): If you are in a Medicare Advantage Plan, you have the right to have a fast-track review by the Quality Improvement Organization (QIO) in your state, if you think you are being discharged from a hospital too early. Beginning January 1, 2004, you also will have access to a quick QIO review when Medicare coverage of your skilled nursing facility, home health agency or comprehensive rehabilitation facility services are about to end. Please visit this site for more information about fast-track reviews, including the service termination notices that providers will deliver, and answers to FAQs (Frequently Asked Questions).

Medicare Appeals and Grievances: provides a short explanation as to how to file an appeal or grievance if you have a complaint.

Medicare Appeals Forms: contains a listing of Medicare appeals forms that you can view and print.

Appeals of Local Coverage Determinations: provides details on how to file a Local Coverage Determination (LCD) appeal.


Page Last Updated: March 27, 2008

 

 
Frequently Asked Questions | Contact Us |  Website Privacy | Website Policies
Freedom of Information Act | USA.gov
57
Centers for Medicare & Medicaid Services | U.S. Department of Health and Human Services