Pre-payment assessment decisions can now be appealed. Also, the process now involves a two-tiered appeal process to resolve all disputes.
Time is of the essence
Each phase of the appeal process has strict timelines. If you miss a deadline, you will forfeit your right to appeal. You are responsible for reviewing claim submissions in a timely manner to ensure adherence to these timelines.
If your pre-payment assessment claims have been rejected or adjusted by MSI, you have the right to appeal MSI’s decision.
Post-payment audit review
When MSI identifies billing issues through the audit process, they provide you with written notice. If you disagree with the audit result, you have the right to ask for a review.
If you require assistance navigating the audit appeal process, please contact DNS for help.