MA Script – Refund Recoupment
May 24, 2020 4:58 pmASK YOURSELF: How many days after payment, did the MA plan request the refund? Why did the plan request the... View more
Archives
MA Script – Notice Requirements for Adverse Determinations
May 24, 2020 3:57 pmASK YOURSELF: Who denied the claim? What is the professional’s license number with the State Medical Board? Were they a... View more
MA Script – No Authorization for ER Services and Care
May 24, 2020 3:52 pmASK YOURSELF: What was the patient’s presenting symptoms or chief complaint in the emergency room? Did the plan pay for... View more
VHA Affidavit – Poststabilization Timeframe
May 24, 2020 3:15 amAFFIDAVIT OF COMPLIANCE Post-Stabilization Care Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
VHA Affidavit – Retroactive Denial for Authorized Care
May 24, 2020 3:15 amAFFIDAVIT OF COMPLIANCE Retroactive Denials for Authorized Care Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients:... View more
VHA Affidavit – Notice Requirements for Adverse Determinations
May 24, 2020 3:14 amAFFIDAVIT OF COMPLIANCE Notice Requirements for Adverse Determinations Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients:... View more
VHA Affidavit – No Authorization for ER Services and Care
May 24, 2020 3:14 amAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients:... View more
VHA Appeal – Poststabilization Timeframe
May 24, 2020 2:51 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the VA Under... View more
VHA Appeal – Retroactive Denial for Authorized Care
May 24, 2020 2:43 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the VA Under... View more
VHA Appeal – Notice Requirements for Adverse Determinations
May 24, 2020 2:30 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the VA Under... View more