Home | Download Library Download Library This is the area we store an assortment of files and documents which you can download and use. To use these files, you'll first have to download them onto your computer, and then open them.

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DOWNLOAD: Managed Care Contract Renegotiation Request Letter Our renegotiation request letter has been redesigned to cite ICD-10 and emerging reimbursement models as a specific justification for contract review and negotiation. The letter can be easily edited to name specific contract language you wish to review/negotiate. Further, the Managed Care Contract Renegotiation letter contains examples of how to cite contract language in appeals so that your negotiation efforts can be more easily enforced via appeals. . . .Download >> DOWNLOAD: Referral Partner ICD-10 Implementation Request Letter This letter can be used to notify your referral partners regarding your ICD-10 performance progress. The letter is helpful for situations where you would like more detailed coding information from your referral sources to avoid potential billing mismatch among entities. . . .Download >> DOWNLOAD: Physician Notification of Updated Physician Query Procedures Letter Physician query procedures need to be reviewed and updated due to the ICD-10 impact on physician query volume. Potential changes to the physician query procedures including setting clear deadlines for query responses, new technology deployment for query tracking and a physician escalation policy for unanswered queries. . . .Download >> DOWNLOAD: PODCAST: An Interview with Deborah Grider on ICD-10 ICD-10 expert Deborah Grider speaks with Appeal Solutions about ICD-10 implementation, staff training, physician engagement and payer contracting and testing considerations. Go to the AppealLettersOnline.com Download Library and download our latest podcast. Download >> DOWNLOAD: ICD-10 Claim Resubmission Guide Claim errors are expected to arise as a result of the challenges in ICD-10 implementation. Download this document to assist with your corrected claim follow-up process. . . . . Download >>

DOWNLOAD: ICD-10 Preauthorization Appeals Guidance Download this document to assist with suspected ICD-10 delays and denials due to preauthorization issues. . . . .Download >> DOWNLOAD: ICD-10 Prompt Payment and ERA Clarification Guidance Download this document to assist with prompt payment escalation and remittance transparency under ICD-10. . . . .Download >> DOWNLOAD: Medical Necessity and ICD-10 Guidance Download this document to assist with Medical Necessity Issues under ICD-10. . . . .Download >> DOWNLOAD: ICD-10 Payment Variance Guidance and Appeal Letters Download this document to assist with ICD-10 Payment Variance Guidance. . . . .Download >> DOWNLOAD: ICD-10 Duplicate Claim Letters and Guidance and Appeal Letter Download this document to assist with ICD-10 Duplicate Claim Letters and Guidance. . . . .Download >>

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