6 2 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E J U N E 2 0 1 5
handling claims submissions,
particularly appeals, is
absolutely essential.
Depending on the terms of a
plan or contract, you usually
must appeal a denial twice
before being able to bring
suit. If you fail to file a timely
appeal, or if the appeal con-
tains insufficient documenta-
tion, your later demand for
payment in litigation is over
before it can even begin.
Having good recordkeeping,
documentation and appeal
processes in place will save
you from countless reim-
bursement headaches down
the road.
OSM
Outpatient Optimized
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ENT
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