This presentation will briefly cover aspects of the denial letter and determining how and what should be appealed. We will point out ways to best determine if the appeal should be a diagnosis/clinical validation versus a coding appeal.
We will also discuss some of current types of denials and ways to successfully appeal them. Examples as well as references will be provided.
Malissa Powers, BS, RHIT, CCS
Garnette McLaughlin, MBA, RHIA, CCS
1.0 – Clinical Data Management
December 6, 2018