Oct 5, 2011

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Using a Payer Appeal Form

Do you have a love-hate relationship with forms?  Most insurance carriers have an appeal submission form to use when pursuing an appeal.  The carrier may even have separate forms for providers versus patient appeals, appeal versus grievance issues and plan-specific or state-specific forms to collect the appropriate data for the claim in question . . . 

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Two Appeals Are Better Than One: Helping Your Patients Submit Winning Appeals

Tammy Tipton, President of Appeal Solutions, will cover how to improve your patient advocacy skills in the audioconference Two Appeals Are Better Than One: Helping Your Patients Submit Winning Appeals on Oct. 13. The most obvious way to help patient with appeals, according to Tipton, is to develop a few basic appeal letters for your patients to use to initiate appeals. However, sample appeal letters should not be distributed without providing the guidance necessary to use the letters with confidence. During the audioconference, Tipton will go over the following patient advocacy appeal steps designed to create a partnership between patient and provider through the appeal process:

Participants in the audioconference will receive the following ten sample patient appeals which your organization can use as a starting point to developing your own patient appeal letter package:

Stalled Claim - Patient Request for Prompt Payment
Patient Request for Eligibility Denial Clarification
Lack of Medical Necessity - Patient Precertification Appeal
Lack of Medical Necessity - Patient Denied Claim Appeal
Type of Provider Patient Appeal
Emergency Care - Patient Lack of Precertification Denial
Patient Experimental/Investigation Appeal
Patient Maximum Benefits Reached Appeal
Patient Coding Appeal
Patient Refund/Recoupment Appeal

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AppealLettersOnline.com Now Features Four On-Demand Appeal Audioconferences with CEU Credits

AppealLettersOnline.com members can now access the following on-demand audioconference recordings. The audioconference are available for the price of $247/audioconference.  Click on any audioconference below for a complete description of content and course materials.

During the month of October, any AppealLettersOnline.com member renewing their membership at the yearly rate ($279) will get free access to one audioconference recording and 1 CEU.

These on-demand audioconferences are now available:

  • 5 Sentences To Improve Your Medical Appeal Letters

  • 25 Appeal Letters And Using PPCAC For Today’s Appeals

  • 50 Appeal Letters And How To Use Them Like A Pro

  • Medical Necessity Appeals And Demanding A Quality Review By The Payer

Each program has the prior approval of AAPC for one continuing education hour.  Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Find out more about these on-demand audioconferences


AppealLettersOnline.com Membership Upgrade Offer:  Get Easier Access To Appeals With Power of Appeals Software

The AppealLettersOnline.com appeal letter database has an appeal designed for every denial and for every underpaid claim.

In fact, most of our clients use hundreds of different letters each week.

If you are one of those clients, you are a high volume appealer. In fact, you may struggle with appeal tracking, reporting and Level II escalation due to the number of appeals you generate each week.

Power of Appeals Denial Management Software is the answer to your denial management needs. Our latest version of Power of Appeals allows you to easily import patient account data and perform efficient letter generation, track account disposition and do some insightful reporting along the way. Plus, you will have all of our appeal letters right on your desktop. It makes finding and sending the right letter easy.

Power of Appeals is only $79/month.  If you currently subscribe to AppealLettersonline.com, you can upgrade for just a few hundred dollars more per year.  Go to www.powerofappeals.com to sign up today.  Your AppealLettersOnline.com membership is free with any software purchase.

Visit PowerofAppeals.com for more information or to download a demo.

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