The underlying problem -- Why this is a "must-read" book -- How to find the CFR codes cited in this book -- Your target audience in the appeals process -- But I need help right now! -- Hard truths about you and Medicare -- Why you must fight : even if you are an insurance company coward! -- Where were we and where are we with Medicare appeals? -- Why you must stay on track during the appeals process -- Do it the same way every time -- Overview of options table -- Your Medicare spreadsheet -- "Good cause" does not mean what you think it means -- Table of good cause for obtaining extensions, vacating dismissals, and reopening claims -- Extensions -- Dismissals -- Reopenings -- Redetermination appeals -- Reconsideration appeals -- Administrative Law Judge (ALJ) appeals -- Medicare Appeals Council appeals -- Medicare audits -- Evaluation & Management (E&M) codes -- Procedure code requirements -- Progress notes -- How to win Medicare appeals -- How to lose Medicare appeals -- Medicare forms you should be using -- Glossary.
This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.