What is a Medicare Peer Review Request Letter?
You have certain rights as a Medicare recipient. Keep the agency accountable with a Medicare Peer Review Request Letter. There's a Peer Review Organization (PRO) that keeps hospitals and facilities in check. Let's say you received fantastic treatment recently; you may want to praise them for how well you were treated. Maybe the treatment you received was unacceptable and you want to make sure the hospital changes their practices; either way, a Medicare Peer Review Request Letter lets you share your experiences. Perhaps you were just notified that Medicare won't be paying for hospital coverage in the future and you want to fight that decision. A Medicare Peer Review Request Letter helps you be heard and maybe even change policy.
When to use a Medicare Peer Review Request Letter:
- You want to write a review, good or bad, about recent Medicare treatment or a hospital stay.
- You got a Notice of Noncoverage and want it formally reviewed.
|Re: Beneficiary's Name:
The purpose of this letter is to request a review of a written Notice of Noncoverage received from stating that Medicare will no longer pay for hospital care. :
I am requesting a review of the Notice of Noncoverage because
I understand that your office investigates this type of complaint. Please advise me as to the outcome of your investigation.
You may contact me if you have any questions or need additional information. or
Thank you for your assistance in this matter.