tci Part B Insider - 2004 Issue 40

Appeals: 10 Denials You Should Always Appeal - No Matter What

Make sure you're getting your fair share by paying attention to the basics If you're taking denials lying down, you could be letting Medicare roll over you to the tune of thousands of dollars per year in well-deserved reimbursement. The reason why many claims get denied may surprise you, says Quinten Buechner, president of Wisconsin-based ProActive Consultants. A conversation with an assistant director of a Medicare carrier finally shed some light on the rejections process for Buechner. "I mentioned to him that 95 percent of the appeals that I processed to them were paid." So, if the carrier...

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