Physicians often lament the days of yore when treatment decisions were made in the exam room and not the insurance company board room. However, a healthcare consultant who specializes in assisting healthcare organization secure coverage for new medical technology says physicians still have a say in individual coverage decisions.
Mary Corkins, Founder of The Reimbursement Group, […]
Medical Reimbursement, how to get paid, and how to increase your profitability.
Healthcare & medical reimbursement is one of the major problems facing today’s health care professionals. Getting a claim paid, and paid in a timely manner, can be a complicated process. The importance of managing claim denials and medical reimbursement is paramount in addressing cash […]
Coding appeals often center around seeking disclosure of the payer’s coding logic. We use wording such as the following to seek clarification of how the coding decisions were made:
“It is our position that any coding denial should be supported by written coding criteria explaining how newly adopted claim edits will be consistently applied to all […]
AppealLettersOnline.com has a number of letters citing state and federal disclosure laws which assist medical providers with demanding more complete information regarding denials. These letters are under the Topic: Benefit Reductions and the Subcategory: State Mandates in the AppealLettersOnline.com Appeal Letter Repository and include a number of new state-specific disclosure letters.
Request Immediate Peer-to-Peer Review. See […]
The health care hue and cry grows louder everyday.
Medical and mainstream publications are filled with stories focusing on the barriers doctors and hospitals face in getting paid in today’s health care environment. Precertification, managed care and tight timely filing deadlines are just some of the hurdles medical professionals must finesse when seeking reimbursement. And if […]
