Wiki Authorization process & Collection advise

[fami]

Hi All,

Need your advise on partial services denied due to authorization. What is the best practice on denial calls.
thanks,

FSP

 

[csperoni]

If the practice made an error in not obtaining the authorization, I would write off due to their error. If this was an emergency, or practice called insurance and told no auth needed, or patient had a retroactive change to insurance, or some other justifiable reason for not obtaining auth, I would then appeal with the carrier.

 

[fami]

If the practice made an error in not obtaining the authorization, I would write off due to their error. If this was an emergency, or practice called insurance and told no auth needed, or patient had a retroactive change to insurance, or some other justifiable reason for not obtaining auth, I would then appeal with the carrier.

Good morning,
Thanks Christine!

May I contact you, need your advise on writing an effecitve aappeals agrument.
If possible, here is my 310.487.5301
My email address fami.sharif@gmail.com

Thanks,

FSP

 

[csperoni]

An effective appeal provides all necessary information to prove your case. You can find hundreds of websites providing sample letters.

 

[rcj0401]

also....was an ABN involved?