tci General Surgery Coding Alert - 2024 Issue Q3

Appeals: Fight for Your Right to Appeal and Win

Insurance companies aren’t advocating for your office; that’s your job. During her HEALTHCON 2024 session, “Advanced Appeal Strategies,” Michelle Mesley-Netoskie’s, COPM, COC, CPC, CPB, CPMA, CPPM, CRC, CPC-I, aimed to help medical coders aggressively appeal their denied claims and refused to accept “denial upheld” as an answer. She reminded coders that “the insurance company is not looking out for you, and they will not give you tips on how to get more money.” Read on to learn tips and tricks to not only avoid claim denials, but to be more aggressive...

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