by Denise Wilson | Apr 5, 2019 | Appeals, Insurance Denials, Revenue Cycle
The Government Accountability Office (GAO) issued a report on March 27, 2019, stating CMS should assess documentation necessary to identify improper payments. The study was performed on Medicare FFS and Medicaid FFS improper payment data for four selected services...
by Denise Wilson | Mar 27, 2019 | Appeal Writing, Appeals, Uncategorized
Facility appeal writers must craft piles of appeals, with virtually no time to investigate the accuracy of payer denials. However, understanding the appeal process is crucial. Engaging a physician advisor can bring the knowledge and experience of a physician to the...
by Denise Wilson | Feb 5, 2019 | Uncategorized
by Denise Wilson MS, RN, RRT, Vice President of Clinical Audit and Appeal Services, Intersect HealthcareReproduced with permission of ICD10 MonitorDenise Wilson MS, RN, RRTVice President of Clinical Audit and Appeal Services, Intersect HealthcareHigher overturn rates...
by Denise Wilson | Nov 14, 2018 | Appeals, Insurance Denials, Uncategorized
by Denise Wilson, RN, MS, RRT, Vice President, Clinical Appeal Services, Intersect Healthcare Reproduced with permission of ACPA A large national insurance carrier, offering managed Medicaid plans, recently denied the inclusion of ICD-10-CM codes Z68.41, body mass...
