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STOP Wasting Time Drafting Useless Appeal Letters!
We've Already Done The Work For You.
Now you can appeal all of your
denials and underpayments more efficiently and with greater
success using our collection of
1400 medical appeal letters. For a limited time, we
are offering a 25% discount off the regular price of $199.
Call 888-399-4925 to take advantage of this offer or sign up
online at
http://www.appealsolutions.com/store.html (product code
ALO1). If you signup online use coupon code EXPERTCPN
to receive your 25% discount. But hurry, this offer
expires June 15th. |
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Medicare Appeal Changes Requires Early
Submission of Documentation.
The success of Medicare
appeals frequently hinges on the quality of the supporting
documentation. The early and thorough gathering of
documentation is even more essential under the new Medicare
Claims Appeal Procedures which were partially implemented
May 1....find
out how these Medicare Appeal Changes affect your facility. |
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Audioconference on Appeals:
Train your entire staff on appealing denied and incorrectly
paid claims for only $197 with our 90-minute audioconference
featuring information on asserting your rights when insurers
deny or underpay your claims.
Over 96% of
past attendees have said their facility benefited from
this audioconference and that they would be implementing
several of the techniques and appeal letters presented
during the audioconference.
Click here for details... or call 888-399-4925. |
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AppealLettersOnline.com New Letters:
AppealLettersOnline.com now
includes state-specific letters to assist users with
submitting payment inquiries and appealing suspected
workers’ compensation underpayments. Added this month
are state-specific workers' compensation appeal letters for
the states of Nebraska through Wyoming. Each state now
has two workers' compensation appeal letters. Any
questions or comments about how to best use these letters
can be posted to the AppealLettersOnline.com Users Forum
specific to Workers’ Compensation Claims....sign
up to access
these appeal letters at www.AppealLettersOnline.com |
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Specialty Highlight:
Manual manipulation is the one
covered chiropractic benefit under Medicare. Despite the
coverage, claims for manual manipulation are still reviewed
for medical necessity and for billable diagnoses. In the
event of a denial for lack of medical necessity,
chiropractic providers should submit the medical records to
substantiate the medical necessity of care. This type of
appeal is also more persuasive if the CMS medical necessity
requirements are cited and the chiropractor explains in
detail how the patient’s condition met the requirements. We
have added a letter citing the CMS medical necessity
requirement for manual manipulation which is the following:
"The
patient must have a significant health problem in the form
of a neuro musculoskeletal condition necessitating
treatment, and the manipulative services rendered must have
a direct therapeutic relationship to the patient's condition
and provide reasonable expectation of recovery or
improvement of function. The patient must have a subluxation
of the spine as demonstrated by x-ray or physical exam, as
described above."
The letter
is available in the AppealLettersOnline repository under the
Topic:
Medical Necessity,
Subcategory:
Medical Necessity
Denial By Condition
under the letter title "Manual
Manipulation."....sign
up to access
these appeal letters at www.AppealLettersOnline.com |
