The Physician Practice Guide to Appeals

The Physician Practice Guide to Appeals

Every dollar counts - now more than ever. It doesn't matter why your claim was denied. If you don't know the appeals process and how to overcome the denial, your practice will lose money. The Physician Practice Guide to Appeals will help you understand the appeals process from start to finish, so you can perfect your appeals and overturn even the most difficult denials. With this handy 10-page PDF, you'll learn all this and more:

  • There are five steps in the Medicare appeals process; find out why redetermination isn't your last hope.
  • You can request that a specialist who understands the procedures your physician performs review your appeal. Here's how.
  • 4 quick checklists can keep your appeals consistent and improve your success rate.
  • 82 percent of non-Medicare and non-Medicaid claims filed by physician offices are subject to ERISA. Learn the ins and outs, and focus on how the recent changes in healthcare law affect your appeals.