What to Do If Your Medicare Advantage Plan Denies Rehab

A Medicare Advantage plan’s denial of post-acute rehabilitation or skilled nursing care is not necessarily final. Recent federal investigations found high denial rates for certain types of post-acute care, but plans overturned a substantial share of denials when patients appealed. It’s important to understand why these denials occur and the practical steps for challenging them, including requesting the denial in writing, gathering supporting medical records, asking a doctor or facility to document medical necessity, requesting an expedited appeal when appropriate, and seeking free assistance through the State Health Insurance Assistance Program.

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How AI Is Changing the Privacy of Your Health Records

If you’ve logged into a MyChart account or a bank app recently, you’ve probably had to confirm your identity with a text message or an authentication app. That kind of extra security step has become routine for everyday accounts. But the federal rule that protects electronic health information doesn’t currently require it.

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