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, […]
At Appeal Solutions, we maintain more than 1600 appeal letters for medical organizations to use to appeal denied, stalled or incorrectly paid claims (sign up at appeallettersonline.com/signup.php). To constantly improve these letters, we put our letters through a rigorous peer review in order to solicit comments and questions about using these letters for maximum effectiveness. […]
If you ever find yourself tired of appealing denials and advocating for care, reading the book “Negotiating From An Uneven Table: Developing Moral Courage In Resolving Our Conflicts” may be the verbal elixir you need. Nurse and author Phyllis Beck Kriteck spells out how to maintain a moral backbone in the world of unevenly granted […]
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 […]
Medical Billing & Coding is the process of submitting and following up on claims to insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government-owned. Medical billers are encouraged, but not required by law to […]
How can we assist health care professionals appeal & resolve ERISA related insurance claims?
Denied claims are 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 is paramount in addressing cash flow, compliance and […]
Billing & Coding is the process of submitting and following up on claims to insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government-owned. Medical billers are encouraged, but not required by law to become […]
AppealLettersOnline.com provide articles & case studies to assist medical providers write appeal letters to resolve denied insurance claims. Denied claims are 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 is paramount in […]
Medical coding is the transformation of narrative descriptions of diseases, injuries, and healthcare procedures into numeric or alphanumeric designations (that is, code numbers). The code numbers are detailed in order to accurately describe the diagnoses (that is, what is wrong with the patient) and the procedures performed to test or correct these diagnoses. Because medicine […]
Appeal Solutions provides technology solutions and consulting services covering the denial management phase of the healthcare revenue cycle. Our solutions ensure your facility gets paid fairly, in a timely manner, for services rendered.
Denied claims are one of the major problems of the Healthcare Revenue Cycle. Getting a claim paid, and paid in a timely manner, […]
