Episode #26
The Payer Said No: When Should You Actually Fight the Denial?
Oct 4, 202631 minS0
The Payer Said No: When Should You Actually Fight the Denial? <p>A payer says no—but does that mean you should appeal?</p> <p>In this episode of Practice Perfect, Jennifer McNamara and Maya Turner break down when to fight the payer, fix the claim, or fix the process.</p> <p>From medical necessity and prior authorization to credentialing, patient responsibility, modifier 59, and payer policies, they discuss why understanding the reason behind a denial matters before taking action.</p> <p>They also touch on Independent Dispute Resolution (IDR) and why denial data can reveal much bigger problems in your re...
