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.
Featured Appeal Letters
The
AppealLettersOnline.com Repository has numerous
state-specific letters to assist with interest collection.
These letters directly quote state standards which require
certain insurance plans to pay interest on claims not paid
within that state’s required prompt pay time frame.....sign
up for access
the appeal letter repository
New Letter to Assist With Global
Billing Appeals
We have a number of physician
clients who are reporting problems getting insurance
carriers to pay for treatment outside of global
reimbursement restrictions. Appeal Solutions has drafted an
appeal letter to assist medical practices with
these appeals. See the new letter under the category
“Benefit Reductions,” subcategory “Miscellaneous,” titled
Global Services Reductions.
Specialty Highlight:
The U.S.
District Court has just issued a very favorable ruling
related to insurance carriers attempting to obtain medical
records from DME suppliers who have already submitted a CMN
to substantiate medical necessity.
Read this entire article...
