Appeal Writing Workshop
This members-only area presents the appeal writing specialist with self-paced educational tools to learn successful, proven strategies in all aspects of appeal writing.
Writing Issue-Specific Appeals
Level of Care
Medical Necessity
Appealing denials that challenge the medical necessity of the service or procedure, inpatient or outpatient
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Clinical Validation
Coding
Technical Administrative
Construction of a Successful Appeal Argument
Coding Standard
Developing Appeal Letter Templates
Sample Appeal Letter Templates
Level of Care Medicare
GVT MN2MN MS-DRG 204 Respiratory Signs and Symptoms Appeal Template UPDATED 2019 Q2
Clinical Validation
Commercial/Managed Medicare
COMM CV ICD-10 A41.9 Unspecified Septicemia SEP-3
Criteria Appeal Template UPDATED 2019 Q1
Coding
Commercial/Managed Medicare
COMM CD Coding Only, ICD-10 Z68.3 – Z68.45, E66.01, E66.9
Obesity and or BMI APL Template UPDATED 2019 Q1
Sample Successful Appeal Letters
Level of Care
Commercial / Managed Medicare
SEAL – The Simple Effective Appeal Letter MS-DRG 638
Diabetes w CC
Medical Necessity
Commercial / Managed Medicare
Level of Care MS-DRG 204 Respiratory Signs and Symptoms 2019-06
Clinical Validation
Commercial / Managed Medicare
Clinical Validation Sepsis and AKI 2019-06
Coding
Commercial / Managed Commercial
Coding Obesity and Rheumatoid Arthritis 2019-04
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