Medicare claims appeals process handbook
By: Lester J. Perling.
Publisher: Aspen Publishers
Published: 2008
Place of publication: New York
Language: eng
ISBN-13: 9780735564817
Subjects: Medicare -- Law and legislation; Medicare -- Claims administration; Administrative remedies -- United States
Table of contents: title: Overview of claims processing system; title: The role of national coverage determinations and local coverage determinations; title: Overview of the new claims appeals process; title: Provider and supplier appeal rights and rules for representation; title: Initial determinations; title: Post-payment audits; title: Redeterminations; title: Qualified independent contractor reconsiderations; title: Administrative law judge appeals; title: Medicare appeals council review; title: Judicial review; title: Quality improvement organization reviews; title: Reopenings.