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Kevin Birch enrolled in Original Medicare (Parts A and B)

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Kevin Birch enrolled in Original Medicare (Parts A and B). Mr. Birch has been receiving rehabilitation services in a skilled nursing facility. He calls you to say that he has just received a notice that Medicare will no longer cover his stay and he still cannot walk properly. He thinks they are ending his services too soon. What do you tell him? Question 17Answer a. He should file a grievance within 10 days. b. The denied amount must be in excess of $2,000 for Mr. Birch to file a first-level appeal. c. He should file an appeal with an Administrative Law Judge within 60 days. d. He should follow the directions on the notice to file a fast appeal. Mr. Birch should file it by noon of the calendar day following receipt of the provider’s notice of termination of services.

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