Successful Strategies for Avoiding “No New Information” Denials
Unfortunately, one of the most frustrating and common denial responses from carriers are the words “Denial upheld. No new information submitted.” A No-New-Info appeal response is a clear signal that your organization may be submitting form letter appeals without making claim-specific customizations to the appeal letter. Appeal form letters have become routine in the industry…
Precertification ICD-10 Training Recommendations
How can your organization anticipate and prepare for Payer ICD-10 pre-certification performance interruptions? We recommend developing a ICD-10 training program for pre-certification staff focused on Payer Performance Monitoring. Yes, precertification staff need the traditional elements of basic ICD-10 role-based training, However, consider adding the following Payer Performance Monitoring initiatives to your precertification training session: Impact…
