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Medical Claim Billing Software
Improve Efficiency and Cash Flow with effective medical claim billing software, statistical reports, claims appeal processes and proper coding.
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 licensing and regulatory requirement issues. Implementing an effective denial management program
can improve financial performance more efficiently than generating additional revenue or controlling costs. By viewing
a denial program as enhancing revenue, providers can significantly improve their financial performance, cash flow and
AppealLettersOnline.com can assist providers implement an effective denial management program.
AppealLettersOnline.com is an interactive resource provided to level the playing field between Insurance Companies and Medical Providers. You
will find appeal letters, case studies, articles, other resources and the latest intelligence necessary to help healthcare providers make
vital decisions and take strategic actions to address payer denial issues.
AppealLettersOnline.com will help health care
providers actively develop the processes, analytical tracking information, educational programs and procedures needed for
implementing an effective denial management program.
Some of the topics covered at AppealLettersOnline.com include addressing payment reductions such as usual and
customary and out-of-network care reductions, lack of timely filing denials, pre-existing conditions and medical necessity
appeals and improving verification of benefits procedures. Treatment exclusions, maximum benefits denials and
subrogation/coordination denials are also discussed. Tips are also provided on appealing for interest and penalty payment on
late payments and appealing a request for a refund of previously paid claims.
AppealLettersOnline.com discusses all types
of claims including Managed Care, Indemnity, Government, Self-Funded, ERISA
claim issues and managed care contractual payment discrepancies.
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| "The service more than paid off. The first one I used had a yield of
$19,700. It was a preauthorization issue. I used one of the appeal
letters I purchased as the framework for the appeal I constructed. I
have won quite a few utilizing the letters this way. They are a
"My facility has been utilizing your service for almost two months. We
are actually realizing payments on Managed Care denials that we would
have otherwise written off. Also, for the first time, instead of us
hunting the insurance companies for payment, the insurance companies
are reaching out to contact us after receiving our letters. It's
amazing the turnaround!"
"I just want to say that this is the greatest reference to appeal letters that there can be!"
"The content of the appeal letters really provides results, both in
overturned claims and prompt responses from carriers. Some letters work
better than others, depending on the denial reason, but they give us
the means to appeal any type of denial and exercise our right to have
denials reviewed and to be provided with proof to support their
"In today's payer environment, we need to be armed with the most
powerful weapon to look out for the rights of our doctors and get them
reimbursed fairly for the work they have done. Appeal Solutions gives
us that ammunition."
"I attended a Coding/Reimbursement seminar this past weekend in Las
Vegas. During the conference I announced to the crowd that your service
has saved us labor and precious revenue. I just wanted you to know that
you have an effective service and our office has enjoyed the ease and
rate of success we have enjoyed since we began using it."
"I am a subscriber to your website and I absolutely love it."
"I purchased the membership and wanted to
tell you that I used one of the letters as suggested by you and was
able to get the denial overturned. It was worth about $12,000."
"I never got a chance to let you know how much the letters helped me in
collections. I was able to collect $98,000.00 on JUST ONE clinical
trials case from an HMO case because of the ground work your company
did. Your letters really do work. Such a great service and a great
assistance to the patients who do not know the ins and outs of the
Insurance juggernaut. INVALUABLE TO SAY THE LEAST!"
"Your website has been very helpful! Worth twice the price!"
"I just purchased your service and only being on it the very first time
and in only 20 minutes, it is blowing my mind with all the information
and tools you offer. I have racked my brain in some instances with
these carriers and how to play their games. I have appealed,
re-appealed, and even gotten suggestions from others on appeals. Your
letters are law guided and I know will be more beneficial to us at
work. I can't wait to share this new found information. I only
purchased your product for one year as a trial basis in tracking
increased reimbursement by using your letters; but I feel I will be
extending this and/or upgrading before the year is out. Thank you so
very much, and I am glad I was surfing today. I was at the end of my