AppealLettersOnline.com eNewsletter: Reimbursement eNewsletter for the healthcare community

ISSUE 35 January 30, 2006

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Medicare Names QIC for Physician Appeals
Medicare's new Part B Fee-For-Service appeal procedures went into effect Jan. 1, 2006.  As part of the new procedures, physicians may now file Level II appeals with Q2A Administrators, the first independent contractor named for reviewing physician appeals.  Click here for details on what this means for your facility.
New Year Special!
For a limited time new members will receive a 10% discount off the normal membership price. When signing up online use the coupon code APPCPN1 to receive your 10% discount on membership to AppealLettersOnline.com.  Take advantage of this special price today as this offer will expire on 02/28/2006.
AppealLettersOnline Featured Letters:
Many new letters have been added to assist users with demanding a prompt response to Medicare Fee-For-Service appeals.  See the Online letter repository topic Stalled Claims, Subcategory: Medicare Fee-For-Service for the following new letters:

1. Request for compliance with Medicare Initial Determination deadline (45 days)
2. Request for compliance with Medicare Redetermination deadline (60 days)
3. Request for compliance with Medicare Reconsideration deadline (60 days)

Sign up at AppealLettersOnline.com to access these new appeal letters.
New Appeal Letters & Changes to Existing Letters:
Many existing appeal letters have been updated to reflect changes in health insurance laws.  The majority of updated letters reflect recent changes in Texas health insurance law citations.  However editorial changes also affect Alabama, Arizona, Connecticut, Florida, New Hampshire, New Mexico and Oklahoma letters.  Some of the new appeal letters include:

Alabama Chiropractic appeal
Alaska Verification of Benefits appeal
Delaware Mastectomy appeal
Delaware Multiple Procedures appeal
Dist. of Col. Recon. Breast Surgery appeal
Hawaii Mammography appeal
Kentucky Mammography appeal
Kentucky Mastectomy appeal
New Hampshire Alt./Comp. Provider appeal
New Hampshire Appeal Deadline
New Hampshire Provider Contract Law
New Hampshire Verification Appeal
New Mexico Utilization Review Requirements
Texas Emergency Care appeal
Texas Nurse First Assistant appeal
Texas Presc. Benefit Claim Processing Deadline
Texas Reconstructive Breast Surgery appeal
Texas Medical Necessity Definition appeal
Virginia Alt./Comp. Provider appeal
Wisconsin Appeal Deadline appeal

Sign up at AppealLettersOnline.com to access these new appeal letters.