A troubling trend in denial appeals

A troubling trend in denial appeals

Recently, we encountered a biller who had a policy in place stating they won’t appeal denials below $500. While such policies are unfortunately becoming more common, it’s still unacceptable for your bottom line. Not sure what your biller’s cutoff...

Navigating MUEs

As with most CMS initiatives, it can be difficult to keep pace with the constantly evolving list of medically unlikely edits, especially when considering CMS and other carriers reserve the right to maintain a list of unpublished MUEs that providers and their billers...