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 Intersect Healthcare | Dec 26, 2018 | Appeals, Insurance Denials
Earlier this month, Co-founder, President & CEO, Brian McGraw had the opportunity to talk with the host of InterviewsNOW, Shereese Maynard, from HealthcareNOW Radio about payer denials and appeals. Listen to the full interview with McGraw and...
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...
by Intersect Healthcare | Sep 8, 2017 | Appeals, Insurance Denials, Resources, Standards of Care, Veracity Software
Permission to reproduce granted by RACmonitor By Denise Wilson, RN, MS, RRT EDITOR’S NOTE: With Hurricane Irma expected to impact Miami-County today, this story, updated from a news alert posted last week on the ICD10monitor website, offers lessons learned for...
by Intersect Healthcare | Jun 14, 2017 | Appeals, Insurance Denials, Resources, Revenue Cycle, Veracity Software
Practical steps to reduce insurance denials and steadily improve the bottom line By Kendall Smith, MD | Chief Physician Advisor to the Intersect Healthcare Leadership Team I was writing an appeal for a hospital system the other day to a large insurer. It was one of...
