Reimbursement
2023 Reimbursement Guide
With our in-house certified specialty coder for interventional pain management, we offer assistance to physicians and their staff to understand payor policies, procedure coding, pre-certification and pre-determination processes. We also offer assistance with appeals, patient grievances, and external reviews. If you have any questions regarding reimbursement or to receive a sample appeal letter regarding reimbursement denials, please contact Meredith George at 800-866-3342 Ext. 2530.
Practice Solutions Consulting
Education is also a key component to our business, and it is from this foundation that we have created our Practice Solutions program. Our resources will assist you in closing the loop on many of your outstanding billing issues with the goal of improving your reimbursement climate.
Reimbursement Resources
ASIPP: Palmetto Policy Change
ASIPP: Inappropriate Reimbursement Patterns of Medicare Advantage Plans
ASIPP: Pain Management Best Practices Inter-Agency Task Force Report
Sample Letter of Medical Necessity
Sample Appeals Letter
ASIPP: Payment Issues Related to Dual Eligible Beneficiaries Under Medicare and Medicaid
ASIPP: Impact of Proposed Acquisition of Wellcare by Centene
Occupational Guidelines
Guidelines and Measures
Stay Informed
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