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 […]
Are your organization’s financial vital signs hard to take?
The increasing complexity of medical reimbursement means increasingly complex financial health analysis.
Power of Appeals software is the leader in denial management with its powerful database of 1600 compliance-focused appeal letters. Now, Power of Appeals provides additional financial analysis tools to allow users to achieve better management of […]
