How to Win Medicare Appeals PDF Download
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Author: David D. Mullens
Publisher:
ISBN: 9781641055994
Category : Administrative procedure
Languages : en
Pages : 280
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Book Description
"This book is about how to successfully fight for the payment of medically reasonable and necessary services when Medicare erroneously denies payment, or when Medicare erroneously demands a repayment of overpayment"--
Author: David D. Mullens
Publisher:
ISBN: 9781641055994
Category : Administrative procedure
Languages : en
Pages : 280
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Book Description
"This book is about how to successfully fight for the payment of medically reasonable and necessary services when Medicare erroneously denies payment, or when Medicare erroneously demands a repayment of overpayment"--
Author: Bob Soltis
Publisher: Lulu.com
ISBN: 1483434974
Category : Law
Languages : en
Pages : 100
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Book Description
In the last four years, the Chief Judge's office at the Office of Medicare Hearings and Appeals has squandered millions of our tax dollars hiring HQ staff instead of worker bees. It affects all of us, not just those enrolled in Medicare. Hurry Up and Wait relies on the perspective its author gained presiding over more than 3,500 Medicare hearings as an administrative law judge. It gives an overview of Medicare, explains the appeal process, shows how mismanagement at OCALJ and poor work by CMS contractors created a 600,000 case backlog, analyzes proposals to fix the problem, provides real solutions, and shows you how to make your voice heard to make much needed changes in the system. A portion of the proceeds are donated to worthy causes, such as the Center for Medicare Advocacy, and Save Lakewood Hospital. Note: You can buy a book without setting up a Lulu account. Thank you.
Author: Kathleen Scully-Hayes
Publisher: American Bar Association
ISBN: 9781590318270
Category : Law
Languages : en
Pages : 436
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Book Description
A Practical Guide to Medicare Appeals describes the steps necessary to successfully resolve appeals of all types of Medicare determinations. Co-authored by a CMS hearing officer and a private practitioner with years of Medicare appeals experience, this book will walk practitioners through every step of the very confusing and sometimes self-contradictory rules so that appeals can be decided on their merits rather than barred for procedural rules violations.
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 52
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Book Description
Author: Eleanor D. Kinney
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 250
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Book Description
Effective negotiation is essential to the success of any law practice. To help you sharpen your negotiating skills for the challenges you face every day in your professional life, The Lawyer's Guide to Negotiation is a book for lawyers written by lawyers that is uniquely designed to make winning at the negotiating table the norm rather than a hit-or-miss proposition. By following the practical, no-nonsense principles and tactics outlined in this easy-to-read, common-sense guide, you ll find out how to consistently get what you want out of any negotiating session.
Author: United States. Congress. Senate. Committee on Finance. Subcommittee on Health
Publisher:
ISBN:
Category : Administrative remedies
Languages : en
Pages : 398
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Book Description
Author:
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages :
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Book Description
Author: Vicki Gottlich
Publisher:
ISBN:
Category :
Languages : en
Pages : 8
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Book Description
Author: Jessica L. Gustafson
Publisher:
ISBN: 9781641059084
Category : Administrative remedies
Languages : en
Pages : 0
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Book Description
This book provides an overview of the Medicare FFS audit and Medicare appeals environment. It starts with an overview of the various CMS contractors performing claims review (including post-payment and pre-payment auditing activities). Then the Medicare Part A and Part B appeals process is examined. Finally, appeal strategies are set forth along with legal challenges applicable to Part A and Part B unfavorable claims determinations, with which attorneys should familiarize themselves when representing a health care entity subject to audit. A list of resources and references is included at the conclusion of this book.
Author: Lester J. Perling
Publisher:
ISBN: 9780735564817
Category : Administrative remedies
Languages : en
Pages : 0
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Book Description
Anyone who submits Medicare claims and receives Medicare reimbursements needsto be fully prepared to follow the appeals process when claims are rejectedand/or refunds are requested.Medicare Claims Appeals Process Handbook helps you understand - and explain -the process every step of the way. You'll know exactly what you can and can'tdo, the essential timeframes for pursuing appeals, where to send information,and how to proceed - at every level of the appeals process!The Medicare Claims Appeals Process Handbook will help you:Increase yourlikelihood of success in the claims appeal by lowering the possibility ofprocedural error and avoiding costly errorsNavigate all four levels of the administrative appeal processProceed to federal court if necessaryStay current with changing rules, regulations, and proceduresPut best practices in place - immediately!Only Medicare Claims Appeals Process Handbook includes letters, forms, charts,and more - all designed to provide you with practical support throughout theprocess.Medicare Claims Appeals Process Handbook has been updated to include:Expanded material on electronic claims submissionA sample denial of an "unusual circumstance" waiver requestInformation on medical necessity denialsA new National Coverage Analysis (NCA) tracking sheet and proposed decisionmemo for MRIsUpdated Medicare redetermination request formsRequest for review of Administration Law Judge (ALJ) Medicaredecision/dismissalComparison of standard and expedited appeals processesUpdated CMS appointment of representative formNew material on the role of the Medicare administrative contractorA sample Medicare Summary NoticeImportant information on overpayment and suspension of paymentsRecent case law regarding exhaustion of administrative remediesUpdated material on good cause for reopening
