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5 Performance Strategies for the Medicare Appeals Process

5 Performance Strategies for the Medicare Appeals Process

With the Medicare appeals process, things are slightly different than with medical malpractice cases. The attorneys are hired by the hospital corporation. Sometimes they’re well-versed in health conditions and sometimes not. Use these five performance strategies as a Certified Legal Nurse Consultant to attorneys perform better. The impact will be a positive one for the hospital client who hires you.

Legal Nurse Consultant Success Story

CLNC® Success Story: How I Consult on Medicare Appeals as a Certified Legal Nurse Consultant

As a Certified Legal Nurse Consultant I consult and assist acute general inpatient rehabilitation facilities (IRFs) with Medicare Part A appeals. It is somewhat different from working on medical malpractice or personal injury cases. Although I do work with the corporate facility attorneys, once a case escalates it goes to the level of an administrative law judge (ALJ) hearing.

*The opinions and statements made by Vickie Milazzo, the founder of Medical-Legal Consulting Institute, Inc. are based on her experiences and expertise, should not be applied beyond the specific context provided, and do not guaranty or project actual results. Vickie Milazzo is no longer involved in the operations or management of the business, but is involved as an independent education consultant.

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