New American Bar Association book is definitive guide to Medicare appeals
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.
ABA publishes ‘The Best of The Business Lawyer: 75 Years of Corporate Law’
In recognition of 75 years of The Business Lawyer law journal, the ABA Business Law Section has published a new book, “The Best of The Business Lawyer.” This compilation, edited by Karl John Ege and John F. Olson, represents a selection of the most significant articles on corporate law and corporate governance published in The Business Lawyer since its first publication in July 1946.
From chapters on the role of the corporation in society and the business judgment rule to mergers and acquisitions (M&A) and the role of corporate counsel, this compilation presents scholarship from distinguished authors and impactful works that have shaped business law in the boardroom and in court.
As the premier business law journal, The Business Lawyer has been a major contributor to the scholarship surrounding corporate law and its editors and authors have been distinguished scholars and practitioners who have notably impacted the areas of business law. The selected articles in the new compilation cover the increasing focus on the duties and responsibilities of officers and directors and their relationship to shareholders, including:
• The role of corporation in society
• Federal vs. state corporate law
• Corporate management
• The business judgment rule
• Officers and shareholders
• Role of the SEC
• Mergers and acquisitions
• Role of counsel
The editors: Karl John Ege is senior counsel at Perkins Coie LLP in Seattle. Prior to returning to private legal practice, Ege was general counsel of Russell Investments. John F. Olson is a founding partner of Gibson, Dunn & Crutcher’s Washington, D.C., office. Olson represents business organizations in corporate governance, securities, finance and M&A matters.
