Queries in Appeal letters
Are other institutions including Compliant Queries within their appeal letters?
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Are other institutions including Compliant Queries within their appeal letters?
Comments
Yes definitely.
yes we have recently started receiving denials based on a non-compliant query but they have never seen the query because our queries are not part of the medical record. The physician entitled their query response "response to coding query". So far it is just Humana, but they are denying based on that claiming a non-compliant query. So I have had to appeal and include a snipet of the COMPLIANT query.
Cheryl Erickson and Robin Sewell did a wonderful conference presentation on this very topic. I hadn't heard of those types of denials yet, but they are truly crazy!!
How do they know it is a non compliant query, if there isn't one for them to see. Are you saying the physician documented in the medical record "responding to coding query"?