tci Medicare Compliance & Reimbursement - 2007 Issue 45

Part D: Team Up With Docs To Keep Benefits Strong

Don't send an exceptions request without this backup Pharmacies, take note: With a new plan year coming, chances are good that your customers will soon need to jump through some hoops to retain coverage for certain drugs. To keep claims paid and care on track, work with customers' physicians as necessary using this exceptions request supplemental form.Do this: To improve chances that a plan will grant an exception, recommend that the individual's physician send a version of this letter with the plan's exception request form, suggests the Medicare Rights Center. The letter should be printed on the physician's...

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