CHICAGO, July 28, 2020 — Just published by the American Bar Association, “How to Win Medicare Appeals” is an engaging and accessible step-by-step guide through the Medicare appeals process. Author David Mullens helps Medicare providers, billers, coders and health care attorneys successfully fight for payment when payment is erroneously denied.
“From billers, to providers, to health care attorneys, “How to Win Medicare Appeals” is an invaluable resource for anyone involved with the Medicare appeals process,” said C. Keith Greer, health care and civil litigation attorney. “In this must-read primer, David Mullens lays out decades of knowledge amassed as a preeminent Medicare appeal attorney in an easy-to-use format.”
While Congress expects Medicare to provide quality medical care for its beneficiaries, Congress does not allocate enough money to meet this goal. And as Medicare tightens its payment rules, it is the providers who are caught in the middle of the “quality-of-care versus inadequate-funding” dispute. In this book, Mullens provides useful tools, such as sample appeal letters, and practical, actionable tips on how to defeat the barriers that stand in the way of a successful appeal. He also shows how to present the best written and oral arguments that result in payment.
This path-breaking book is written in plain English and designed to cut through the legalese of government regulations and Medicare rules. “The process to appeal Medicare decisions can be frustrating and difficult to understand. I wrote the book to demystify the process and to provide a simple path to payment,” Mullens said.
“Packed with detailed information, tools of the trade and best practices, “How to Win Medicare Appeals” is an essential resource for anyone involved in the Medicare appeals process,” said the Health Law Partners’ Jessica L. Gustafson, author of “What Are … Medicare Appeals?” (2015).
David Mullens, B.S., D.P.M., J.D. 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 was a community surgeon in the Orthopedic Department of Stanford University Hospital from 1976 through 2011. He earned his J.D. at Peninsula University Law School in 1997 and was an associate attorney with Alexander Hawes and Audet in San Jose, California, until 2004. He established his own law practice in Palo Alto in 2004 and represents health care providers regarding payment for services by Medicare and the for-profit insurance companies.
This book was published by the American Bar Association in conjunction with the Senior Lawyers Division and is available in the ABA store and on Amazon.
Editor’s note: Review copies are available by sending an email to Brandon Wilhelm at Brandon.Wilhelm@americanbar.org. If you publish a review of this book, please send tear sheets or a copy for our files to Brandon Wilhelm, ABA Book Publishing, 321 N. Clark St., Chicago, IL 60654.
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