eNewsletter: Reimbursement eNewsletter for the healthcare community

ISSUE 61 July 9, 2009



Scope of Practice Appeals
Many healthcare providers, from advanced practice nurses to chiropractors, routinely receive denials due to the fact that the services and/or procedure performed is only covered when provided by a licensed medical doctor. These denials can often be successfully contested by citing state scope of practice information if the provider is acting within the scope of the applicable medical license. . . . Read this article >>
AppealLettersOnline Featured Letters
Appeal Solutions has added a number of letters for appealing scope of practice denials claims. Please see the following letters under the topic Alternative/Complementary Care:
  • Chiropractic Scope of License Appeal
  • Advanced Practice Nurse Scope of License Appeal
  • Physician Assistant Scope of Practice Appeal
Access these letters >>
Power of Appeals Pricing set for Change
Our Power of Appeals denial management software is one of the most effective and affordable tools available for effective claim management.  Current pricing of $695 for the single user version will be phased out on October 31, 2009. New pricing will be announced in October, 2009, to give organizations month-by-month software payment options.  For health care providers seeking an internal solution to denial management, we have packaged our knowledge of insurance law and claims processing methods into a software solution. From now until the new pricing structure takes effect, you can efficiently manage and effectively appeal your claim denials at a very affordable one time cost and add users at affordable multiple user pricing. The software can be previewed by downloading the software demo.