Every year, organizations receive more denials, and payers’ tactics are shifting based on coding rules, clinical criteria, and their own whims....Read More »
According to the 2019 CDI Week Industry Survey, 27.77% of respondents who are currently involved in the denials management/ appeals process work...Read More »
This sample level 2 appeal letter was provided by Jera Van Damme, BSN, RN, CCDS, senior clinical documentation educator at Essentia Health in Duluth, Minnesota.
This sample was examined and approved by the Resource Library Committee in 2023. The committee recommends that, if a program...
This sample appeal letter was provided by Jera Van Damme, BSN, RN, CCDS, senior clinical documentation educator at Essentia Health in Duluth, Minnesota.
This sample was examined and approved by the Resource Library Committee in 2023. The committee recommends that, if a program uses this...
Providence Health & Services wasn’t the only one under fire from Integra Med Analytics. The firm also filed a suit alleging that Baylor Scott...Read More »