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Medicare Claims Appeals Process Handbook

Loseblattwerk
712 Seiten
2008
Aspen Publishers Inc.,U.S. (Verlag)
9780735564817 (ISBN)
CHF 529,95 inkl. MwSt
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Essential for anyone who needs to navigate the complexities of Medicare's five-level appeals process, this volume also addresses related processes, most notably, the role of national and local coverage determinations, which are described at length and supplemented by numerous appendices containing sample cases. Initial chapters describe in clear language the claims processing system and the new claims appeals process instituted in 2005. Other chapters address post-payment audits, initial and re-determinations, reconsiderations of qualified independent contractors, judicial review, and quality improvement organization reviews, among other topics. A glossary is provided. The material is published in loose-leaf format in a 3-ring binder.
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