This file contains the following: paper appeal submission, electronic appeal (Medicaid), FA-90 form, appeal notice, and web appeal

Appeals are formal written requests to the plans for reconsideration of a medical or contractual adverse decision

Learn why hospice denial occurs and how to avoid it.

This document is about duplicate billing.

This document is about bundling denials.

This content introduces what office visits are and how they can be classified.

This document describes pre-authorizations and how a lack of pre-authorization results in denials.

This document is about non-medical necessity denial prevention and resolution.

This document contains information about when an office visit was denied due to the inconsistency with the age of the patient.

This document describes how office visits can be categorized according to the age of the patient.