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Medicare Compliance & Reimbursement

APPEALS :

Add Up How Many Low-Dollar Denials You Write Off and Determine Whether to Pursue Payment

Published on Fri May 22, 2009

The answers may surprise you -- and addressing appeals could add to your bottom line. If your practice's rule of thumb is to write off all denials worth less than $10.00 or another low dollar amount, you may want to rethink that policy. It may be time to add up those claims and determine just how much money you could be pocketing through claims corrections and appeals. To calculate this amount, "your practice could create a special write-off -- TCTA (too costly to appeal) -- to isolate those items that may have been appealable, but you wrote them off anyway, to find out how many low dollar appeals you let slip through your fingers," suggests Barbara J. Cobuzzi, MBA, CPC, CPC-H, CPCP, CENTC, CHCC, president of CRN Healthcare Solutions in Tinton Falls, N.J. "This is part of denials analysis," Cobuzzi adds. "You may find several claims of a particular type that you can [...]
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