Using Evidence Based Medicine Guidelines in the Appeal – Researching and Building Your Library


Wednesday, January 28, 2015

Listen & Watch the Webinar

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One of the backbones of an effective appeal for a payer denied claim is the argument that care was provided according to acceptable standards of practice in the medical community. Both commercial and government payers recognize that evidence based guidelines are the foundation of sound medicine.

The savvy appeal writer will use evidence based guidelines to connect the dots between the documentation in the medical record and the standard of care in the medical community. The result is an effective and successful appeal. But, how do you know which guidelines support the standard of care?

Join us for our webinar and learn how to do the research and create your own library of evidence based medicine guidelines.

Learning Objectives

  • Understand how to identify guidelines that support the standards of care.
  • Understand how to research and find the appropriate evidence-based clinical literature.
  • Understand how to incorporate supporting documents in the appeal argument.
  • Understand how evidence based medicine guidelines have been used to overturn denials with real case studies.