How to Appeal Denials, Fight-Back, Scrub EOBs, The 1500 Form & ICD-10 Pointing

How to appeal the most common denials
How can it be “not medically necessary”…it’s only the 1stvisit?
Modifier XS, 59, GP, 25 updates
Denials due to missing or invalid modifiers
CCI edit denials for bundled / mutually exclusive/incidental services
97140 & 99213 bundling with 98941
How to prove medical necessity
Deductibles, co-pays, co-insurance
1500 form boxes 14, 15, 24J, 25, 31
How to point box 21 to 24E
How to bill secondary insurance plans
Medically necessary care vs. maintenance/wellness care
How to prevent the most common denials
Sample forms and “fight-back” letters
Sample ABN forms and financial policy forms
Plus much more!