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Lost Medical Records
Payers have a duty to maintain professional standards in
processing submitted medical documentation and a loss of
such records by a payer may indicate a weakness in their privacy and security
protections. This article discusses tips for dealing with payers who frequently
lose medical records and other critical documentation submitted with your
appeals....read this entire article
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Medical
Appeals Audioconference:
Train your entire staff on appealing denied and incorrectly
paid claims with our 90-minute audioconference
featuring information on asserting your rights when insurers
deny or underpay your claims. This conference will be
held February 20th. Registration is limited.
Call 888-399-4925 or
click
here for details |
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AppealLettersOnline.com Featured Letter
This issue's featured appeal letter is designed to
address an insurance company's failure to properly process
protected health information submitted by the provider. The
new appeal letter is located under the Topic "Stalled
Claims", Subcategory "Stalled Claim Follow-up."...sign
up to access this appeal letter |
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United Healthcare Out of Network Payments To Go To Patient
in 2007
United Healthcare has announced a new national policy
to discontinue direct payment to out of network providers. Under the
"pay the enrollee program," United
Healthcare will direct out-of-network benefit checks to the insured member
rather then non-participating providers...click
here for details
AppealLettersOnline.com has a forum area for you to discuss United Healthcare claims and
reimbursement issues with your colleagues.....sign
up to access the United Healthcare claims forum |
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Power of Appeals Version 6
Power of Appeals Version 6 will be released in March, 2007! This
major upgrade enables users to more effectively
manage and appeal denied medical claims. Version 6 features
enhanced account management tools which allow you to quickly
assess and appeal denied claims. The Patient Account screen
summary provides up-to-date account disposition at a
glance. New reporting features provide powerful graphical
information regarding account disposition which can be used
to more effectively manage denied account volume and
accountability. An online demo of the software can be
scheduled in March for those who wish to preview the enhanced version
prior to purchase. Contact Tammy Tipton at 888-399-4925 for
information about the online demo or to obtain software and
update service pricing. |
