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Valuable & Educational Resources for Healthcare Professionals
Social Factor Considerations in Addressing Medical Necessity Denials
As inpatient medical necessity denials continue to rise, it is important to evaluate possible drivers of change in the patient presentation and clinical encounter resulting
Top 4 Clinical Charge Audit Trends in 2024
1. Trends Seen in the Increase of Downgrades for Emergency Department Level Visits Many payers are developing proprietary algorithms for determining their own Emergency Department
FY2024 Codes for Caregiver Training Services
Medical coders must familiarize themselves with several new codes for Caregiver Training Services, which became effective January 1, 2024. These new services are intended to improve patient
Case Study: Clinical Appeals Collection
A collection of case studies involving clinical appeals challenges and revenue cycle solutions Managed Resources partners with healthcare systems, hospitals and payers across the United
Case Study: Unappealable Denials
How to Review & Determine the Most Difficult Cases Our client, a large four-hospital system, was facing a difficult challenge: THE CLIENT EXPERIENCED A SIGNIFICANT
Case Study: Charge Audits
Emergency Department Evaluation & Management (E&M) Level Codes: How a Clinical Charge Audit Can Evaluate Billing Practices & Documentation Our client, a large hospital sysem,
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What People Are Saying About Us
The Managed Resources clinical appeals team have been excellent to us! Not only in having such a positive impact in recovering appropriate reimbursement for denials, but for their personal and timely approach to sharing educational tools with us to help prevent future denials. They really provided us with a high quality of service.
I can honestly and without hesitation declare these to be the absolute finest, most thorough, comprehensive and convincing clinical appeal letters I have ever seen in my 25+ year career as a hospital revenue cycle leader.
CodingAID has worked with our physicians to provide valuable and timely coding and documentation education
Thank You, Thank You!! I found myself in a huge bind. Inpatient and outpatients accounts in backlog. Reaching out to you saved me. Not only did they provide High Quality Experienced coders, they got my backlog under control/caught up in no time.
We were really pleased with attention to detail that was provided to us in the review of clinical appeals management and charge capture It was clear to see that your team knew what they were doing!