Articles Tagged With: peer-to-peer
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Peer-to-Peers Not Always Successful; Patient Access Can Increase the Odds
Patient access does its part by obtaining authorizations for scheduled cases. Thorough documentation in the medical record gives the payer no reason to ask for the peer-to-peer in the first place.
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Make ‘Peer-to-Peer’ Happen Within 24 Hours, Or Face Denied Claim
Payers are requiring time frames as short as 24 hours for peer-to-peers between the patient’s and payer’s physicians, or they’ll deny the claim. This article discusses several strategies that can make this conversation happen quickly enough to avoid denials.