Outpatient Surgery Magazine

Would You Operate On This Patient? - October 2015 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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2 6 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 O N L I N E | O C T O B E R 2 0 1 5 Fight Back Against Rejected Claims 6 tips for turning claim denials into revenue. A ppealing rejected claims doesn't seem worth the hassle some- times, does it? But having a timely, organized and well- documented process not only helps you recoup costs for services, it is also vital if litigation aris- es. While the exact steps vary depending on whether you're an in-network provider and in which state you reside, these tips should improve your chances of turning a claims denial into payment. Review your assignment of benefits In general, the success of your appeal depends on how good your documents are. If a good record exists of the services and sup- plies used, as well as all contact made between the insurer, facility and patient, it makes appeals — and litigation — that much easier. Good documentation is the most important thing in an effective 1 C O D I N G & B I L L I N G Elizabeth Lemoine, JD z APPEALING RESULTS When a payer rejects your claim, what's the best way to get paid?

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