Wiki Exhausting appeals for under payments

[rudyamis@harrishouse.org]

I'm having issues with a carrier that keeps denying all my appeals with proof of contract and proof of under payment. I have escalated said issues numerous times with no resolution. How should I go about getting the information I need if I have exhausted all appeals and all other avenues?

 

[vanessamoldovan]

https://podcasts.apple.com/us/podcast/for-the-love-of-revenue-cycle/id1592520973?i=1000675236403.
Mastering Payer Defense
In this episode, Vanessa Moldovan, CEO and founder of 'For the Love of Revenue Cycle,' dives deep into the complexities of downcoding and mastering payer defense strategies. She discusses essential steps including understanding contracts, interacting effectively with payers, and leveraging legal options and state insurance commissions. Vanessa also shares insights gathered from a healthcare attorney specializing in defending providers against insurance companies. Tune in to learn actionable strategies to safeguard revenue and ensure fair payment while maintaining professional relationships with payers.