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Regulatory Waivers, EMTALA Exemptions Effective During Hurricane Harvey

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...

Why You Should Include Payer Payment Guidelines in Appeal Templates

by | Jul 3, 2015 | Appeal Writing, Appeals, Evidence Based Guidelines, Medical Records, Resources, Standards of Care

Including payer payment guidelines in your appeal letter templates can increase the efficiency and effectiveness of your appeal writing. Most payers develop and publish very specific payment guidelines for medical and surgical procedures. This ensures payment is made...

The Use of Evidence Based Medicine in Appeal Letter Templates

by | Jun 4, 2015 | Appeal Writing, Appeals, Evidence Based Guidelines, Medical Records, Resources, Standards of Care

Insurance company denials of payment are rarely issued in a random and infrequent manner. Most denials for services rendered are grouped around specific issues on payment policies, as defined by the insurance carrier. As an appeal writer, it only makes sense to...

Leveraging Limitation on Liability to Win Appeals

by | Mar 25, 2015 | Appeal Writing, Appeals, Resources, Standards of Care

Limitation on Liability is a very common phrase to appeal writers, specifically when dealing with government denials. It’s a crucial argument that is vital to a winning appeal argument. Have you ever stopped to think about what that phrase means? Have you ever dug...

Are CMS’ Local Coverage and National Coverage Determinations the Final Word?

by | Mar 18, 2015 | Appeals, Medical Records, Resources, Standards of Care

RAC, CERT, ZPIC, MAC. These are acronyms that send shudders through most hospital’s C-Suites, given their perpetually increasing aggressiveness of “un-paying” hospitals, and now physicians1. Understanding LCD’s and NCD’s A majority of these “un-payments”...

Cut your Workload and Win More Appeals with Appeal Letter Templates

by | Feb 26, 2015 | Appeal Writing, Appeals, Resources, Standards of Care

There is no reason to ever write an appeal letter from scratch. You will never write just one appeal for chest pain or knee replacement surgery. Denials come in multiples. The only difference from the first chest pain denial and the twentieth is the circumstances of...
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To better reflect our laser focus on serving healthcare providers, we are excited to announce that we are renaming Intersect Healthcare to PayerWatch.

For more information, please email info@payerwatch.com.

 

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