Appeals: Analyze Your Denials to Improve Your Appeals Odds
Tip: Request a peer review if necessary.
Whether you love a good mystery or you’ve always wanted to be a detective, you can put these skills to the test if you have some denials on your desk. By being the lead investigator of your own appeals process, you can find the reasons behind your denials — and possibly reverse them.
Review Remark Codes
It’s easy to miscommunicate if you’re speaking a different language. Make sure you understand exactly what a payer requires — and then format your appeal letter and claim accordingly.
“Look at the...
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