Help with a fictional brief claim submission scenario that presents a claim denial outcome from Medicare.  This claim should state whether the patient was new or established and indicate the type of visit and procedures provided.  Explain why Medicare denied the claim and the steps that should be taken to initiate the correct level of appeal.

Answer rating: 100% (QA)

Claimant Dr Joseph Amos MD Patient Mary Kitheka Patient status Established Type of visit Outpatient ... View the full answer