Appeal Solutions, Inc.
Evidence-Based Medicine in Medical Claim Denials; Appeal Solutions Offers Tips on Guideline-focused Appeals
Published in Managed Care Business Week, May 8th, 2007
Insurance executives acknowledge that guidelines are not "binding" on medical reviews. Many applicable state and federal medical appeal review laws require consideration of clinical information submitted by the treating provider. As a result, guidelines are often set aside during the review process if justified.
"This is not just about winning an appeal and getting paid. Appeals indirectly shape the future of health care quality," said Tammy...
Want to see the full article?
We're a pay-per-view site for premium content. If you'd like to purchase this article, it's only $3.00.
Welcome to NewsRx!
Learn more about a six-week, no-risk free trial of Managed Care Business Week
More Articles from Managed Care Business Week
- Adams Respiratory Therapeutics, Inc.
Adams Respiratory Therapeutics Adds Two New Board Directors - Aflac Incorporated
Aflac Incorporated Announces First Quarter Results, Increases Second Quarter Cash Dividend - American Heart Association
Two American Heart Association Leaders Receive Distinguished National Leadership Award - Apple Valley Medical Center
Apple Valley Medical Center Hosts Open House for Newly Expanded Facility - Authentidate Holding Corp.
American HomePatient Validates Benefits of Using Authentidate's Inscrybe Healthcare Platform - Behavioral Science
National Patient Safety Foundation Partners with Behavioral Science Technology, Inc. - More from this issue of Managed Care Business Week
NewsRx is Social
Follow us on your favorite social network by clicking on a button below:
Top Medical Newsletters
Awards
Best Health/Healthcare Content, 2012
Best Health/Healthcare Content, 2011
Best e-Business Site, 2010
Best e-Business Site, 2009
Best e-Business Site, 2008
Best e-Business Site, 2007
Best e-Business Site, 2006
Best Healthcare Content, 2005
Best Overall Internet Site, 2005
Best Interactive Site, 2005
Facts & Stats
NewsRx also is available at LexisNexis, Gale, ProQuest, Factiva, Dialog, Thomson Reuters, NewsEdge, and Dow Jones.
- Google 2010 PageRank: #2 Among Top Health News and Media Publications
- Google 2010 PageRank: #2 Among Top Science Publications in Biology/Physiology
- Google 2010 PageRank: #2 Among Top News and Media for the Business of Pharmaceuticals
- Amazon's Alexa 2010 PageRank: #2 News and Media Site for the Pharmaceutical Industry
