The first level of appeal in the Medicare program is
A) redetermination.
B) inquiry.
C) fair hearing.
D) appeals council review.

Question

Quizplus · Accepted Answer

The first level of appeal in the Medicare program is redetermination. This involves a review of the initial claim by a different Medicare claims examiner. If the appeal is not successful at this level, the beneficiary may then request a reconsideration, followed by a hearing, and finally an appeals council review.

The First Level of Appeal in the Medicare Program Is