Medicare Timely Filing
The newly enacted Patient Protection and Affordable Care Act amends the timely fling
requirements on Medicare Fee for Service claims to one calendar year after the date
of service. Learn more about how this will affect your facility. . . .
Read this article >>
AppealLettersOnline Featured Letters
We've added a new letter citing the Patient Protection and Affordable Care timely filing requirements. These letters can be used in situations where the carrier has not allowed the federally mandated time frame for filing claims. Please see the following letter under the topic
Timely Filing:
Notice of Original File Date – Medicare Fee For Service.
We've also updated the following state-specific letters to reflect legislative changes:
Appeals Audioconference provide Fast Track to Appeal Success
"Denial upheld. There is no new information in your appeal."
This is an all-to-frequent response to most medical claim appeals but it doesn’t have to be the final word.
Appeal Solutions has a number of recorded appeals audioconferences which feature our most successful appeal letters.
Visit our website for a
complete list of available Audioconference Recordings including the following:
50 Appeal Letters & How To Use Them Like a Pro – Content: Presentation
and Review of 50 Level I and Level II Appeal Letters which
are designed to easily appeal all denials and demand a
detailed response from insurers regarding nonpayment. Proven
Strategies for Level II appeal customizations, denial
prevention and what to do when appeal efforts fail will also
be discussed.
Learn
more about our Recorded Audio Conferences.
Medical Necessity Appeals and Demanding A Quality Review By the Payer
Content: Presentation and Review of 20 Level I and Level II
Appeal Letters specifically addressing medical necessity
denials. Presentation will include how to assess appeal
responses for signs of a poor quality review. Strategies for
demanding peer review, peer discussion, expert review and
complete clinical disclosure will be explained. Level II
medical necessity appeal customizations will be demonstrated
so that none of your higher level appeals are rejected due
to "no new information."
Learn
more about our Recorded Audio Conferences.
