Medicare coverage cutoff
Coverage ending sooner than expected?
The appeal is free. Know the call to make.
We are not part of Medicare or your review organization.
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The appeal, in plain terms
When Medicare is about to stop paying, you get a written notice. You can ask for a fast review before you leave.
The notice is called the Notice of Medicare Non-Coverage.
One phone call to the review organization starts the appeal.
Before you start
The window is short, so the call is made the same day the notice arrives.
Who your appeal goes to
The review organizations are Acentra Health, once called Kepro, and Commence Health, once called Livanta. Your notice may still show the old name.
Patient Stand has no connection to Acentra Health, Kepro, Commence Health, Livanta, Medicare, or any government agency or contractor.
What is inside
What to ask for
The exact request that starts a fast, independent review.
Who to call
Your review organization, with your state's number included in the email.
When to act
The deadline, and why the call comes before any paperwork.
What comes next
The steps after the call, set out in plain language.
Free first
The appeal is free, and you make the call yourself.
If you would rather have your appeal steps prepared for you, that is a flat fee.
Calling for a parent
If you are calling for a parent, you can start the appeal for them. The kit tells you what to say and when to call.
Ask about observation status
Time spent under observation may not count toward the three-day stay Medicare looks for before it helps with later nursing care. Ask whether the stay is inpatient or observation.
Patient Stand prepares documents and explains the process. We do not give legal, financial, medical or tax advice, we do not act on your behalf, and we cannot promise any outcome. We are not a law firm, a debt adjuster, or a credit repair organization. We are not affiliated with Medicare, any government program, any hospital, any insurer, or any collection agency. Deadlines are set by Medicare, your provider or the collector and never by us.
Nothing here is advice about your situation. It is general information, and it carries no guarantee or assurance of any outcome. Your circumstances may differ from the examples given. Where your situation calls for advice, speak to a qualified professional. Our full terms are at patientstand.com/terms.
Medicare's own information is at medicare.gov.