Appeals - JD DME
Appeals
Access the below appeal level related information from this page.
- Redetermination - First Level
- Reconsideration - Second Level
- Administrative Law Judge (ALJ) Hearing - Third Level
- Medicare Appeals Council Review - Fourth Level
- Federal Court Review - Fifth Level
Submitting an Appeal
Submit claim denials for the reasons below as a Redetermination request with supporting documentation. This can be accomplished through the Noridian Medicare Portal (NMP), mail or fax.
Too Complex for Reopening and Must Be Appealed (with supporting documentation)
- Overutilization denials (requires supporting medical records)
- Oxygen break in service (BIS) issues
- Medicare Secondary Payer (MSP) issues (except when Medicare is now primary)
- Medical reviews or additional documentation requests (ADRs)
- Change in liability - beneficiary responsibility denial request
- Timely filing (older than one year from initial determination)
- Recovery Auditor (RAC) related items
- Transcutaneous Electrical Nerve Stimulators (TENS) policy
- Duplicate denials (situational)
- Miscellaneous and - NOC codes and claims requiring specific narratives
- Manually priced items
- Adding or removing modifiers:
- Liability modifiers - EY, GA, GY, GZ, GX, KX
- Specialty modifiers - JW, K0, K1, K2, K3, K4, KE, KK, RB, RP
- RA
- KG, KT
- CR
- CG
- Certain HCPCS codes:
- Common codes - E0194 (air fluidized bed), E1028 (wheelchair accessory), K0108 (wheelchair component or accessory, K0462 (loaner equipment during repair), L4210 (repair of orthotic device)
- K1018 - K1019 (external upper limb tremor stimulator and supplies and accessories)
- All National Drug Codes (NDCs)
- Noncovered items/services per LCD
- Claims with previous recoupment or refund requests
- Claims with equipment in a non-covered status
Check Appeals Status / Ask Questions
Resources
- CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 29 - Appeals of Claims Decisions
- CMS IOM, Publication 100-04, Medicare Claims Processing Manual, Chapter 34 - Reopening and Revision of Claim Determinations and Decisions
- Medicare Claims Appeal Procedures; Final Rule