Practice Management Alert
Focus on These Aspects of an Appeal Letter
Question: What information is crucial to include when I’m appealing a denied claim? New Jersey Subscriber Answer: Crafting an effective appeals letter is as much about following a template as providing rationale for why a service should be paid. Check out — and maybe clip and save — this table with information from Holly Ridge, CPC, CPMA, so you can have a list handy when you’re writing appeal letters. “What you’re going to do is tell them why it was denied and why it should be paid. You’re going to tell them why in that body ‘this is why it should be paid’ or spelled out, and then you’re going to end it with saying what you want. You’re going to give the payer the necessary information three times in three different ways,” Ridge recommends.
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