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The 1000 Page Appeal Letter: Covering the Clinical Bases In Experimental/Investigational Appeals|
When Attorney Jennifer Jaff appeals denied insurance claims, she uses boxes, not envelopes, for her appeals.
Her average appeal often consumes more than 50 record-gathering, research and development hours. When ready for the box, some appeals can cover more than 1,000 pages. . . . more >>
Appeal Letter Access: Easy, Easy at AppealLettersOnline.com
Appeal letters are now easier to find and use.
Most appeal letters require a very customized appeal. That is why AppealLettersOnline.com has more than 1600 letter options. However, frequent situations require medical billing professionals to appeal quickly with minimal denial detail.
AppealLettersOnline.com introduces our Level I - Level II Basic Appeal Letters to address. . . .more >>
Denial Analysis Often Improves Healthcare Profitability
What gets studied gets improved. This is one of the simplest management concepts yet one of the most challenging when it comes to ambiguous data. "What is understood gets improved" is the more accurate maxim for analyzing the ambiguous, often uncharted, sea of denial data being generated in the initial stages of healthcare denial management. Read this entire article for information on implementing effective denial analysis within your organization. . . . more >>
Three Steps To Coding Appeal Success: Improve Coding Appeals Now To Put Pressure On Payers To Divulge Coding Edits
Payer coding edits confuse and confound the most experienced coders. However, challenging a payer's coding determination often results in more confusion, more frustration and a single line of computer-generated insurer-speak such as "paid according to the plan or policy benefits."
Such explanations of benefits are little help and should be viewed as particularly unacceptable to those practices concerned about the upcoming ICD-10 implementation and the likelihood that payer coding edits may greatly impact reimbursement in 2014.
Now is the optimum time to increase your demands that payers. . . .more >>
|SLIDESHOW: 5 Sentences to Improve Your Appeal Letters|
Do your carefully worded appeals result in simple form letter responses? If so, it is likely that your appeals may need more forceful language regarding carrier appeal review and response requirements. Getting the insurance carrier to provide a customized detailed response starts with making appeal letters more specific in regard to the appeal review and response requirements. . . . more >>
|Who's Reviewing Your Appeals? Man or Machine?|
Appeals involve highly technical issues such as clinical guidelines, specialty coding standards, quality of care and contract requirements. It takes a highly qualified appeal reviewer to respond appropriately. However, carrier appeal responses fall short again and again. . . .more >>
|Denial Analysis Tactics to Improve Reimbursement|
What gets studied gets improved. This is one of the simplest management concepts yet one of the most challenging when it comes to ambiguous data. What is understood gets improved is the more accurate maxim for analyzing the ambiguous. . . .more >>
|Hospital Replaces Rebills With Appeals|
CASE STUDY: Rebilling unpaid claims at 60 to 90 days has long been a rule of thumb in medical receivables management. However, a California hospital has found a much more appealing method of handling aged claims that resulted in an immediate drop in aged accounts. . . .more >>
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