Seven strategies to build an effective appeal process

Publication: ACDIS

Facility appeal writers must craft piles of appeals, with virtually no time to investigate the accuracy of payer denials. However, understanding the appeal process is crucial.

Engaging a physician advisor can bring the knowledge and experience of a physician to the revenue cycle arena. A physician advisor can assist with appeal work, especially clinical validation, by serving as a peer liaison to educate physicians on proper documentation that can help prevent denials and pursue appeals. Along with the expertise of revenue recovery specialists, physician advisors are invaluable to the appeal process.