Assignment 06: appealing decisions | HA4070D-Regulatory Environment in Health Care | National American University
For those who have Medicare or Medicaid coverage, there are similarly multiple options available including filing a complaint directly with the Centers for Medicare & Medicaid Services (CMS) or submitting an appeal of any denial of benefits. Furthermore, these individuals can also request assistance from their state’s ombudsman office which helps investigate disputes and provide advice on how best to proceed.
Overall, regardless of what type of insurance plan one has there are various procedural remedies that may be pursued when dealing with potential issues. By understanding one’s rights and what options are available patients can seek out solutions which better meet their needs while still ensuring fairness and proper treatment from providers over time.