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Referral Denial

Medicare Denied Your Specialist Referral?

Centers for Medicare & Medicaid Services (CMS) denies 18% of claims on average. But 75% of appeals succeed when patients fight back. Your specialist referral denial may have grounds for a successful appeal.

18%
Denial Rate
75%
Appeal Success
60-90 days
Typical Timeline
$500–$5,000
Typical Claim

Why Medicare Denies Specialist Referral

Primary care can manage the condition

Out-of-network specialist not covered

Referral authorization expired or not obtained

Medicare's Common Denial Tactics

Denying claims as not reasonable and necessary

Coverage determinations based on LCD/NCD criteria

Denying skilled nursing facility stays as custodial care

How to Win Your Specialist Referral Appeal

PCP letter explaining why specialist care is needed

Documentation of failed primary care treatment

Evidence no in-network specialist is available for the condition

Laws That Protect You

ACA network adequacy requirements

State any-willing-provider laws

No Surprises Act for emergency specialist care

Tips for Appealing to Medicare

Medicare has a 5-level appeal process — most denials are overturned by level 2 or 3

Request an ALJ hearing if redetermination and reconsideration fail

Cite specific LCD/NCD criteria and explain how your case meets them

Ready to Fight Your Specialist Referral Denial?

Upload your denial letter and get an AI-powered analysis in minutes. We'll identify the weaknesses in Medicare's reasoning and build your appeal strategy.

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This information is for educational and informational purposes only. It does not constitute legal or medical advice. Statistics cited are from publicly available sources including KFF, HHS OIG, and state insurance department data. Individual results may vary. Consult a qualified professional before taking action on your specific situation.

Medicare Denied Your Specialist Referral? Here's How to Appeal | Lysco