Congress expects Medicare to provide quality medical care for its beneficiaries. However, Congress does not give Medicare enough money to meet this goal. When Medicare went into effect in 1966, there were 19 million people receiving Medicare benefits, and life expectancy for the average American was 70 years. By 2015, there were 55.5 million people receiving Medicare benefits, and life expectancy was 78.8 years. This puts Medicare providers in the middle of a quality care versus inadequate funding dispute, which can affect the kind of care a patient receives.
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. The information in this book will help Medicare providers, Medicare billing companies, and health care attorneys who represent Medicare providers to prepare for Administrative Law Judge (ALJ) hearings--and will help you win those ALJ decisions.
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Verlagsort
Produkt-Hinweis
Illustrationen
Maße
Höhe: 278 mm
Breite: 214 mm
Dicke: 16 mm
Gewicht
ISBN-13
978-1-64105-598-7 (9781641055987)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Klassifikation
David Mullens, DPM, JD, is a board-certified podiatric surgeon and has authored articles and book chapters on lower extremity problems. He has served as a Clinical Associate Professor at the Stanford University School of Medicine and as a Professor with dual appointments in Basic Science and Podiatric Medicine at the California College of Podiatric Medicine. He earned his JD at Peninsula University Law School in 1997 and was an associate attorney with Alexander Hawes and Audet in San Jose until 2004. He established his own law practice in Palo Alto in 2004 and represents health care providers regarding payment for services. To date, Dr. Mullens has successfully prosecuted the collection of several thousand CPT and HCPCS codes previously denied for payment by Medicare and the for-profit insurance companies. In 2020, the American Bar Association published his book, "How to Win Medicare Appeals."
