Denial Resources

nrshuffy@gmail.comnrshuffy@gmail.com
edited August 5 in Denials

I recently inherited managing denials for one of our facilities, but I am having trouble finding resources to use when writing the appeals. The majority of denials utilize UpToDate as a reference which I do not have access. I find it very difficult to search through pub med for articles as well. What are some of the resources used when trying to write appeal letters? I have used Pinson and Tang, ACDIS, articles from JAMA but have not been very successful. I am also finding that it has been the process for the appeal letters being sent back have been including highlighted segments, bolding words, different color font to emphasize certain items. I have been under the impression that this is not the best way to compose appeal letters. If anyone has examples of appeal letters without patient identifiers that they could share, I would appreciate it.


Thanks

Kelley Huff, RN

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