National denial rates are up, increasing 23% over the last 5 years. For many clinicians, receiving a denial letter can be daunting and confusing, and many wonder if they should attempt to appeal them at all. The answer is yes, and knowing how to read and an appeal a denial is an important skill to have.
In this webinar, two physician advisors will discuss the types of appeals, anatomy of an appeal letter and examples for how to overturn a denial.
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Physician advisory service programs improve outcomes for hospitals and patients.
Sound's physician advisory services provide high-quality concurrent and secondary case reviews to hospital partners nationwide. Our unique approach includes remote advisory services, the option for an onsite medical director of advisory services, and training and education for hospital-employed physician advisors.
Our on-site and remote physician advisors address the root cause for missed reimbursement by tightly integrating with the hospital case management team and medical staff to ensure appropriate level of care and clinical documentation throughout the patient stay.