DecisionHealth, DecisionHealth - 2012 Issue 1 (January)

4 tips to creating a winning private payer appeals letter

Stack your appeal letters with claim-specific clinical data and input from your physicians for the best shot at collecting on denied claims. Treat your appeals process as if you were presenting your case in court, by showing the payer all the evidence in your favor upfront, says Joan Gilhooly, CPC, president of Medical Business Resources in Lorain, Ohio. 

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