6 Video Lessons
Treatment Exlcusions/Limits
Treatment Exclusions and Limitations have a direct impact on provider reimbursement. Unfortunately, denials related to policy or plan exclusions and limitations are often not appealed because providers do not have sufficient information regarding the policy or plan terms. We provide information on how to approach these types of appeals under the following Treatment Exclusions and Limitations Topic Pages.
Course Materials:
Related Appeal Letters:
Related Blog Articles:
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Course Instructor
Tammy Tipton
President of Appeal Solutions, Tammy Tipton is an author and frequent speaker and expert on resolving denied and disputed medical insurance claims.
Course Objectives
What You'll Learn:
- Coverage Termination
- Experimental Treatment Appeals
- Maximum Benefit Appeals
- Preexisting Conditions
- Timely Filing Limitations
- Treatment Caps
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