As many Medicare beneficiaries turn to private health insurance plans through a Medicare Managed Care Advantage (MA) program, providers are faced with plans that use proprietary criteria, and not Medicare's, to determine access to services and providers.
From the wide range of reasons for denying a request for authorization to understanding a specific plan's appeals process, it can be challenging to manage all of the variables. Download the white paper to learn:
- background on authorization denials for inpatient rehabilitation providers
- strategies to reduce denials pre-admission
- guidelines for addressing and appealing a denial