Carolinas Center for Medical Excellence
 
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CCME's Beneficiary Appeals Helpline

As part of our contract with the Centers for Medicare & Medicaid Services (CMS), people with Medicare or their designated representatives who have a concern that their medical services are ending to soon, can request an appeal by calling 866-885-4902 in North Carolina and 800-922-3089 in South Carolina. You have the right to request an appeal for:

  • An Impending Hospital Discharge – Sending you home when you believe you are too sick to leave and should continue to stay in the hospital longer.
  • Termination of Service – Ending a course of treatment (such as rehabilitation, nursing home, home health, or hospice care) when you feel you still need those services.

Before calling the CCME's Beneficiary Appeals Helpline, have the following information handy:

  • Name on Medicare card
  • Medicare number
  • Type of Medicare plan (Traditional Medicare or Medicare Advantage)
  • Address
  • Phone number (including area code)
  • Date of birth
  • Name, address, and phone number of the health care provider
  • Date the service was provided
  • Copy of any notice/letter the provider issued


CCME’s Beneficiary Appeals Helpline:
866-885-4902 (NC)  800-922-3089 (SC)

The TTY/TDD-hearing impaired numbers are 800-735-2962 in North Carolina and 800-735-8583 in South Carolina. Phones are answered seven days a week from 8:00 a.m. to 4:30 p.m., Eastern Time. Calls received after 4:30 p.m. will be returned the next business day.

Quality of Care Concerns
People with Medicare or their designated representatives who have a concern related to the quality or necessity of care provided by their health care providers, can file a complaint or inquiry by calling 1-800-MEDICARE (1-800-633-4227) or TTY/TTD 1-877-486-2048, to discuss their issues with a trained professional.

CCME
© 2010 The Carolinas Center for Medical Excellence | Page updated 9/6/2010  
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