Your practice is never completely safe from a payer denial, despite all the careful advance work you’ve done to ensure that you submitted a clean claim – but you can be armed with your first line of defense if one does come your way. Indeed Medicare statistics show that over 10% of physician office claims are denied each year.
In these times of times of shrinking revenue, you can’t afford to ignore those denied claims. Help is on the way! Get practice-proven tips and tactics to fight back, and help put your practice in the black.
Margaret Atkinson, business manager of Centennial Surgery Center, who has never seen a denial she won’t fight, will give you her tips to a healthy bottom line.
- How best to craft your appeal, what key information to include,
- What key supporting documentation you must have and how to single out important information from the operative record.
- Real answers to what avenues are available to you if the payer does not answer your appeal, or turns it down flat.
- When an appeal is worth fighting – or not
- Key contract tips so you do not find yourself in an appeal situation.
Take it a step further! Check out Margaret Atkinson’s exclusive Payer Appeals and Communication Made Easy, a resource guide containing over 90 actual letters used successfully by physician practices just like yours to appeal claim denials from payers plus a CD-ROM with templates of all the letters in the book, which you can customize for your own use. Whether you need to challenge a claim denial or other payer problem including CPT® or ICD-9 billing errors, dealing with payer refund requests, modifier use, or patient collections, you’ll get expert strategies and tips to craft a winning appeals letter and get paid. Order Now |
Margaret is the Business Manager at Centennial Surgery Center, a freestanding ambulatory surgery center, in Gibbsboro, NJ., where she supervises billing, coding and collection staff and is responsible for all managed care negotiations and contracting. Atkinson has over 15 years of experience in healthcare billing and coding in various practices from home care to urology. She has been involved in private payer contracting, and knows the appropriate fees for ancillary services for proper ASC reimbursement. Atkinson has a Bachelor of Science from Rowan University in Management Information Systems. She is certified CPC through the AAPC, and is certified RMC through the ARMC.
