Medicare audits are a fact of life for health care providers that serve Medicare beneficiaries. Medicare processes over one billion medical claims every year, and in fiscal 2004, Medicare contractors denied over 158 million Medicare claims. For those who are charged with overseeing the reimbursement appeals process, the system can seem complex and confusing.

Anyone who submits Medicare claims and receives Medicare reimbursements needs to be fully prepared to follow the appeals process when claims are rejected and/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't do, the essential timeframes for pursuing appeals, where to send information, and how to proceed - at every level of the appeals process!

Medicare Claims Appeals Process Handbook covers everything, including:

Recovery Audit Contractors

Evidence issues

National/Local Determination Process

And more!

The ALL-NEW Medicare Claims Appeals Process Handbook will help you:

Increase your likelihood of success in the claims appeal by lowering the possibility of procedural error and avoiding costly errors

Navigate all four levels of the administrative appeal process

Proceed to federal court if necessary

Stay current with changing rules, regulations, and procedures

Put 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 the process.

About the Author, Mr. Lester J. Perling is a Partner in the Fort Lauderdale office of Broad and Cassel. He is a member of the Firm's Health Law and White Collar Civil and Criminal Fraud Defense Practice Groups. Mr. Perling is a board-certified health law attorney. He has had significant experience with Medicare and Medicaid reimbursement and fraud and abuse issues, privacy of health care information (HIPAA), federal and state administrative proceedings, provider operations issues, corporate compliance programs, and related matters for health care providers. He is a frequent national author and lecturer on various health law and health management topics. Mr. Perling was designated a 2006 and 2007 "Florida Super Lawyer" by Law & Politics magazine and was recognized in Chambers USA in Healthcare for 2006 and 2007. He was also recognized in 2008 by the top legal guide "The Best Lawyers in America," published by Woodward and White.