July 10, 2013

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The 1000 Page Appeal Letter:  Covering the Clinical Basis in Experimental/Investigational Appeals

When Attorney Jennifer Jaff appeals denied insurance claims, she uses boxes, not envelopes, for her appeals.

Her average appeal often consumes more than 50 record-gathering, research and development hours.  When ready for the box, some appeals can cover more than 1,000 pages.

"If I send in a 1,000 page appeal and I get a denial within ten days, I know they didnít read it. That can be very frustrating. What you need to do then is file the second level of appeal and then, if you have whatís called an external appeal opportunity, thatís where youíre really going to get your best chance of winning." Jaff said.

Continue reading this article at AppealLettersOnline.com

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Be sure and review the following new letters under the Specialty Care Topic so that you can appeal denials by demanding review by a highly qualified reviewer using specialty-specific clinical guidelines.

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Free Webinar:  Denial Management - Get Your Practice For ICD-10

Learn how to get ready for ICD-10 starting now by tracking hidden denials for optimum financial performance while also learning how to address increased denials related to the ICD-10 implementation.

Join us on Wednesday, July 17 at 1:00 pm EDT/10 am PDT, for a free webinar sponsored by Navicure.

During this hour, youíll hear industry expert, Tammy Tipton, president of Appeals Solutions, discuss:

  • 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.

Participants can earn 1.0 Continuing Education Unit (CEU) from the American Academy of Professional Coders (AAPC) by attending.  Complete information and registration is at: http://dailypracticeblog.com/category/resources/

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