In the government’s effort to root out fraud, waste and abuse, program integrity audits are now commonplace. In today’s audit rich environment, denials are inevitable and therapists must be prepared to defend their clinical decisions to protect their reimbursements.
Our Appeals Process Expert is the Differentiator
Managing the appeals process poses an administrative burden for health care providers including our skilled nursing facility partners. Preferred Therapy Solutions has a centralized, dedicated professional who possesses the skills, expertise, and experience to manage the appeals process for our partners. Our Appeals Process Expert ensures we have all necessary documentation to write a clear and thorough appeal beginning at the Redetermination level (Level I) and continuing through all five levels of the appeals process, if necessary. Our success rate for Level 1 appeals ranks in the 90th percentile.