Outpatient Surgery Magazine - Subscribers

Battle Post-op Pain Without Opioids - April 2016 - 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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A P R I L 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 3 5 and gather previous documents and records to support your argu- ment. It's also a good idea to demand the insurer show you proof backing up their claims. Appealing refund requests can take a lot of time and energy, and the best way to enhance your chances of success is to ensure you and your staffers are properly trained on how to assess the validity of claim determinations. There are many resources available, including webinars and other related denial management training courses addressing advanced appeal rights and processes. No matter what action you take, don't just roll over when insurers come with recoup- ment requests — take a stand and protect the revenue you are enti- tled to receive. OSM Ms. Dittrich (medrevenue@bellsouth.net) is a claims recovery and ERISA/PPACA appeals specialist for MedRevenue Solutions.

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