Now there’s a resource from Aspen Publishers that can help anyone who submits Medicare claims and receives Medicare reimbursements. The Medicare Claims Appeals Process Handbook by Lester J. Perling, a partner in the Fort Lauderdale office of the Florida law firm Broad and Cassel, is a looseleaf guidebook that explains in detail what to do when Medicare claims are denied – something that happened to health care providers over 158 million times in fiscal 2004 alone.

The all-new Medicare Claims Appeals Process Handbook will increase the likelihood of success in a claims appeal by lowering the possibility of procedural missteps and avoiding other costly errors. Those who follow this guide will know exactly what they 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.

The Handbook navigates the entire complex appeals route: the claims processing system; the role of national coverage determinations and local coverage determinations; the new claims appeals process; provider appeal rights; rules for representation; assignment of appeal rights; initial determinations and redeterminations; rules for presenting evidence; qualified independent contractor reconsiderations; administrative law judge appeals; Medicare Appeals Council reviews; judicial review; Quality Improvement Organization’s reviews; and reopenings.

Due to its looseleaf format, Medicare Claims Appeals Process Handbook helps professionals stay current with changing rules, regulations, and procedures and helps them to put emerging best practices in place immediately. It also includes letters, forms, and charts designed to provide practical support throughout the process.

For more information or to purchase the one-volume looseleaf Medicare Claims Appeals Process Handbook, call 1-800-638-8437 or visit www.aspenpublishers.com.