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1600 Appeal Letter Templates Used By  4000 Healthcare Organizations to:
  • Improve Cash Flow!
  • Minimize Claim Denials!
  • Reduce Write-Offs!

Thousands of appeal letter templates, how-to articles, online seminars, audio programs, software and more. View FREE Appeal Letter Samples.

FEATURED RESOURCES
The 1000 Page Appeal Letter:  Covering the Clinical Bases In Experimental/Investigational AppealsThe 1000 Page Appeal Letter: Covering the Clinical Bases In Experimental/Investigational Appeals
When Attorney Jennifer Jaff appeals denied insurance claims, she uses boxes, not envelopes, for her appeals.

Her average appeal often consumes more than 50 record-gathering, research and development hours. When ready for the box, some appeals can cover more than 1,000 pages. . . .
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Appeal Letter Access: Easy, Easy at AppealLettersOnline.comAppeal Letter Access: Easy, Easy at AppealLettersOnline.com
Appeal letters are now easier to find and use.

Most appeal letters require a very customized appeal. That is why AppealLettersOnline.com has more than 1600 letter options. However, frequent situations require medical billing professionals to appeal quickly with minimal denial detail.

AppealLettersOnline.com introduces our Level I - Level II Basic Appeal Letters to address. . . .
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Denial Analysis Often Improves Healthcare ProfitabilityDenial Analysis Often Improves Healthcare Profitability
What gets studied gets improved. This is one of the simplest management concepts yet one of the most challenging when it comes to ambiguous data. "What is understood gets improved" is the more accurate maxim for analyzing the ambiguous, often uncharted, sea of denial data being generated in the initial stages of healthcare denial management. Read this entire article for information on implementing effective denial analysis within your organization. . . . more >>

Three Steps To Coding Appeal Success:  Improve Coding Appeals Now To Put Pressure On Payers To Divulge Coding EditsThree Steps To Coding Appeal Success: Improve Coding Appeals Now To Put Pressure On Payers To Divulge Coding Edits
Payer coding edits confuse and confound the most experienced coders. However, challenging a payer's coding determination often results in more confusion, more frustration and a single line of computer-generated insurer-speak such as "paid according to the plan or policy benefits."

Such explanations of benefits are little help and should be viewed as particularly unacceptable to those practices concerned about the upcoming ICD-10 implementation and the likelihood that payer coding edits may greatly impact reimbursement in 2014.

Now is the optimum time to increase your demands that payers. . . .
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Seven Tips To A Successful Medical Necessity Appeal
Seven Tips To A Successful Medical Necessity AppealAppealLettersOnline.com has a number of letters citing state and federal disclosure laws which assist medical providers with demanding more complete information regarding denials. These letters are under the. . . .more >>
Who’s following New PPACA Regulations and Who’s Grandfathered: Improve Verification Process by Seeking PPACA Status
Who’s following New PPACA Regulations and Who’s Grandfathered:  Improve Verification Process by Seeking PPACA StatusPPACA appeal review regulations have some important protections meant to achieve review transparency and insure impartial decision-making. However, understanding which plans and policies must follow the new rules may be confusing. Appeal Solutions explains some of the upcoming changes and suggests how to make the important distinction between who is following the newly developed PPACA appeal process and who isn't. . . .more >>
SLIDESHOW: 5 Sentences to Improve Your Appeal Letters
SLIDESHOW: 5 Sentences to Improve Your Appeal LettersDo your carefully worded appeals result in simple form letter responses? If so, it is likely that your appeals may need more forceful language regarding carrier appeal review and response requirements. Getting the insurance carrier to provide a customized detailed response starts with making appeal letters more specific in regard to the appeal review and response requirements. . . . more >>
Demanding Fee Schedule Disclosure
Demanding Fee Schedule DisclosureWhen a claim appears to be underpaid, your appeal may need to seek disclosure of how the payment was calculated. . . .more >>
Drafting A Level I Appeal: Three Components of a Winning Appeal
Level I appeals need to be submitted timely. Medicare appeals must be filed within 120 days of the claim decision. Most commercial insurers require appeals within 180 days from the denial. These time constraints force medical providers into situations where . . . .more >>
Managed Care Contracts: AKA Mangled Care Contracts
Learn why mangled care can be an excellent system to be a part of, promote or profit from...if you're an insurance carrier. . . .more >>
Who's Reviewing Your Appeals? Man or Machine?
Who's Reviewing Your Appeals? Man or Machine?Appeals involve highly technical issues such as clinical guidelines, specialty coding standards, quality of care and contract requirements. It takes a highly qualified appeal reviewer to respond appropriately. However, carrier appeal responses fall short again and again. . . .more >>
Denial Analysis Tactics to Improve Reimbursement
What gets studied gets improved. This is one of the simplest management concepts yet one of the most challenging when it comes to ambiguous data. What is understood gets improved is the more accurate maxim for analyzing the ambiguous. . . .more >>
CASE STUDY: Responding to Insurance Denials Due to Lack of Medical Necessity
CASE STUDY: Responding to Insurance Denials Due to Lack of Medical NecessityA medical provider has received an insurance denial due to lack of medical necessity. To review the correctness of this action, the provider’s office obtains the carrier’s policy definition of medical necessity. . . .more >>
Hospital Replaces Rebills With Appeals
Hospital Replaces Rebills With AppealsCASE STUDY: Rebilling unpaid claims at 60 to 90 days has long been a rule of thumb in medical receivables management. However, a California hospital has found a much more appealing method of handling aged claims that resulted in an immediate drop in aged accounts. . . .more >>
Increase Pay-up by Successfully Appealing Claim Denials
Increase Pay-up by Successfully Appealing Claim DenialsLearn why perseverance is the key to a high rate of overturned medical health insurance appeals. . . .more >>
CASE STUDY: Appealing Denials Based on Verification of Preauthorization of Coverage
CASE STUDY: Appealing Denials Based on Verification of Preauthorization of CoverageAt the time of patient admission, the Provider called the Insurance Company to verify policy benefits. An insurance representative confirmed that coverage was currently in effect and provided coverage details. . . .more >>
Never Talk to the Monkey When the Organ Grinder is Available
Never Talk to the Monkey When the Organ Grinder is AvailableInsurance companies receive, review and uphold thousands of medical appeals each year. Should you be detered if you receive a letter stating your appeal letter was reviewed and the decision to deny payment was upheld. . . .more >>
Another Day in the Paradise of Managed Care Reimbursement
Another Day in the Paradise of Managed Care ReimbursementIt has happened again... another reimbursement check and Explanation of Benefits (EOB) has arrived from a Managed Care Organization (MCO) with an amount less than what you believe is due to you under your MCO agreement. What do you do now. . . .more >>
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