June 11, 2015

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ICD-10 Transition: Working With Your Referral Partners on Dual Coding

Don't wait until the last minute to discuss ICD-10 with your referral partners.

A good ICD-10 communication plan includes direct coordination with referral partners. Contacting your referral partners now will allow you to start building an ICD-10 networking group for sharing information on payer readiness, vendor options and staff training and the information you mine from your referrals may continue to boost your financial performance even beyond the initial implementation date through stronger ties with referral partners.

In order to jump start your referral partner communications, we are providing the following letter which you can customize to suit your ICD-10 communication plan. . . .

Keep reading this article.

AppealLettersOnline.com New Content

Appeal Solutions has added ICD-10 Benefit Variance Guidance to the AppealLettersOnline.com Download Library.  The ICD-10 Benefit Variance Guidance has implementation tips for reviewing benefit variance under ICD-10 and also including the following sample appeal letters to use for ICD-10 Benefit Variance Appeals:

  • Benefit Variance Appeal involving Unjustified Payer Modifier Usage (new letter!)

  • Benefit Variance Appeal involving MS-DRG Shift (new letter!)

  • Request for Audit of a Group of Related Claims with Benefit Variances (new letter!)

Contact Tammy Tipton at t.tipton@appealsolutions.com to schedule a customized ICD-10 denial management webinar for your staff covering denial avoidance and effective appeals.

Access the appeal letters at AppealLettersOnline.com

Free Webinar: Strategies for ICD-10 Appeal Success

Is your appeal process ready to handle the higher denial rates predicted to accompany ICD-10?  According to CMS, in the early stages of ICD-10 implementation, denial rates could increase by 100 to 200 percent.

Learn how to make your appeal process ICD-10 ready by attending a free webinar sponsored by Navicure on Tuesday, June 16 at 1 p.m. EDT/10 am PDT: Strategies for ICD-10 Appeal Success.

During this hour, you'll hear industry expert Tammy Tipton discuss:

  • Training your staff to be the front line in ICD-10 denial avoidance

  • Tips to improving your practice's denial review process and why to reconsider the financial threshold for appeal escalation

  • What specific demand to make in an ICD-10 appeal so that your appeal gets a high quality review by a qualified reviewer

  • Best practice for Level II appeal letters and why persistence pays in the appeals process

Visit the Navicure events page for the registration link - http://www.navicure.com/cp-events.htm

Participants can earn 1.0 Continuing Education Unit (CEU) from the AAPC by attending the live webinar.  Don't let ICD-10 denials become a revenue drain.  Know what steps to take to ensure you maximize your reimbursement.

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