August 6, 2013

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Three 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 provide clear, consistently-applied coding edits so that. . . .

Continue reading this article at AppealLettersOnline.com

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Denial Management:  Get Your Practice For ICD-10 by Attending an Appeal Solutions Denial Management Presentation

Learn how to get ready for ICD-10 Denial Management by securing Appeal Solutions to present at your next MGMA, AAPC or HFMA conference.

Tammy Tipton, President of Appeal Solutions, explains how to track hidden denials for optimum financial performance.  Providers must clean up accounts receivables now and also focus on poor payer claim processing performance.  ICD-10 denial management presentations are currently scheduled for the upcoming Illinois MGMA Payer Conference and the St. Petersburg, Florida AAPC October meeting.  The presentations covers the following denial management appeal best practices critical to reimbursement security in the coming months:

  • Tactics to better identify "hidden denials" and tips to better track them in order to improve your ICD-10 readiness.

  • What types of denials will likely be impacted by ICD-10 implementation and how to prepare an optimum ICD-10 denial management strategy.

  • Best practices for writing appeal letters, including how to demand disclosure of ICD-10 claim decisions and what to do about uncooperative payers.

Contact Tammy Tipton at t.tipton@appealsolutions.com if your chapter is looking for an educational presentation specifically designed to empower providers to protect reimbursement during the ICD-10 implementation. Tipton will also custom a presentation to a specific organization's needs and work with your ICD-10 implementation team to improve denial management in conjunctions with ICD-10 implementation.

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