Denials

How to Get Off the Denial and Appeal Merry-Go-Round

It’s a familiar pattern with payers, the provider wins a front-line denial, then a myriad of payer reviews occur and result in more denials. More provider resources are deployed to fight each subsequent denial, only to be unfairly under-reimbursed at the end of the cycle.

On-Demand: How to Get Off the Denial and Appeal Merry-Go-Round

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Fighting the Rising tide of Claim Denials: A Physician Speaks Out (from RACmonior)

Listen to Monitor Monday for November 29, 2021. Dr. Jerilyn P. Morrissey has the lead story for this episode of Monitor Monday on how Medicare Advantage plans appear to be bulling providers denying claims and fabricating rules for denials. Dr. Morrissey’s section starts on minute 24:50. Look for the episode titled: Resisting Medicare Advantage Bullies.

Don’t Use Denial Rate to Measure a Payer’s Performance

By Jerilyn Morrissey, MD Regardless of who your team reports to on the organization chart, there is no getting around the fact that Utilization Management (UM) is part of the clinical revenue cycle of your organization. Embracing that concept may challenge your...

On-Demand: How to Get Off the Denial and Appeal Merry-Go-Round

Oct 18, 2022

It’s a familiar pattern with payers, the provider wins a front-line denial, then a myriad of payer reviews occur and result in more denials. More provider resources are deployed to fight each subsequent denial, only to be unfairly under-reimbursed at the end of the cycle.

Fighting the Rising tide of Claim Denials: A Physician Speaks Out (from RACmonior)

Jun 21, 2022

Listen to Monitor Monday for November 29, 2021. Dr. Jerilyn P. Morrissey has the lead story for this episode of Monitor Monday on how Medicare Advantage plans appear to be bulling providers denying claims and fabricating rules for denials. Dr. Morrissey’s section starts on minute 24:50. Look for the episode titled: Resisting Medicare Advantage Bullies.