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Dreaded Mail: New Fee Schedules
Do you dread opening mail from payers these days?
Fee schedule reductions may be on route to you today.
If you are receiving a number of Notice of Fee Schedule
Adjustment letters, we have some responses for you to use . . . .
Read this article >> |
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AppealLettersOnline Featured Letters
AppealLettersOnline.com has two letters to assist with requesting fee schedule disclosure
and initiating contract renegotiation. See the Topic Contract Negotiation for the Media Files titled:
- Sample Letter for Requesting Managed Care Contract Renegotiation
- Fee Schedule Renegotiation Request Letter
The following state-specific letters cite the advance notice requirements for fee schedule changes and would be useful for appealing fee schedule reductions which the carrier did not provide advance notice regarding:
- California Fee Disclosure Law - requires 45 days advance notice of fee schedule changes (Updated)
- Kentucky Fee Disclosure Law - requires 90 days advance notice of fee schedule changes (New)
- Maryland Disclosure Law - requires 30 days advance notice of fee schedule changes
- Ohio Fee Disclosure Law - requires 90 days advance notice of material fee schedule changes (New)
- Texas Availability of Coding Guidelines - requires 90 days advance notice of fee schedule changes
AppealLettersOnline.com also has a number of new and updated state-specific appeal letters related to other topics as follows:
- Colorado Disclosure Law (New)
- Florida Refund/Recoupment Law (Updated)
- Wisconsin Coding Law (New)
- Wisconsin Grievance Review Requirements (New)
- Wisconsin Preexisting Condition (Updated)
- Wisconsin Utilization Review Requirements (New)
Access these letters >>
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50 Appeal Letters & How To Use Them Like A Pro
Our most popular training course, 50 appeal letters & How To Use Them Like A Pro, is now available on CD.
In this audio recording, Tammy Tipton, President of Appeal Solutions, discusses how to assert your rights when insurers deny or underpay. Level I and Level II appeal responses are discussed and legal protections related to appeal review will be explained. Some of the appeal letters to be discussed include the following:
- Incorrect verification of benefits
- State and/or federal laws related to specialty care including access to care, peer review, anti-discrimination, direct access and clinical trial coverage and how to demand compliance with mandatory coverage laws.
- Coding appeals and demanding a review by a specialty care coder and release of coding criteria.
- Seven tips to improve medical necessity denials.
- Getting action on unnecessarily stalled claims.
- Maximum Benefit Appeals and
- How To Respond to Refund/Recoupment Response letters.
50 Appeal Letters & How To Use Them Like A Pro also comes with a 30-day trial membership to AppealLettersOnline.com.
Orders received by April 30, will also receive a free copy of Appeal Solutions’ denial management book,
Appeals Toolkit which includes comprehensive information on
denial management and effective appeal tactics.
Order the CD today. |
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