Appealing denial of payments under Part B of the Medicare program

Under recently enacted legislation, Congress has given physicians and medical clinics new rights in Part B payment disputes with the Medicare program. Favorable court decisions have also expanded the physician's rights in this area. In addition to an informal review and "fair hearing," physicians may now be entitled, depending on the dates of service in dispute, to an administrative hearing and judicial review of the determination. Care must be taken to assure that these important new rights are protected and preserved.