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<h1>Medical Denial & Appeal Services</h1>
<p><a href="medicalappeals.htm" target="_top">Medical Denial Problems?</a> | <a href="appeal_confront.htm" target="_top">Confronting
Denials Head On</a> | <a href="appeal_win.htm" target="_top">Challenge We Can
Win</a></p>
<p>Are you experiencing these symptoms?</p>
<ul>
<li>No prior approval</li>
<li>Undocumented medical necessity</li>
<li>Denied level of care</li>
<li>Denied end of stay days</li>
</ul>
<p>Recent industry studies indicate that 10% to 15% of a hospital’s managed
care claims result in full or partial medical denials. Our experience indicates
that 67% of these medical denials can be recovered through the filing of effective
appeals. And, with the information developed through the preparation and filing
of these successful appeals, you can significantly reduce future medical denial
rates.</p>
<p> You are already aware of the reasons for medical denials. You also know that
the recovery process is resource intensive, requiring a thorough understanding
of the payor’s authorization and appeal processes and clinical guidelines.
And you understand that successful appeals require time and resources –
especially clinical staff. </p>
<p>Too often a hospital’s business office personnel are already handling
more than their share. They don’t have the medical expertise needed to
interpret medical records or establish medical necessity, and the addition of
clinical resources may not be feasible. Your clinical personnel are busy with
patient care and are often unable to devote time to support the business office
in developing medical appeals. Unfortunately this results in failed appeals,
unnecessary managed care write-offs, and lost revenue. That’s where Chapin
Revenue Cycle Management can help.</p>
<p><a href="appeal_confront.htm" target="_top"> Confronting Denials Head On</a>
</p>
<p>Let us help you recover what's missing from your bottom line. For further information
about Chapin's customized solutions, contact Rick LaForge (<a class="menu" href="mailto:rlaforge@chapinrcm.com">rlaforge@chapinrcm.com</a>).
</p>
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