The Problem: What if every time you had a patient in v-fib, you were allowed to shock him only once? What would your success rate be? Everyone in EMS knows that defibrillation often works only on the second, or even the third, shock. The same principle holds true when it comes to getting reimbursed for medical transportation. It often takes one, even two, appeals before claims are paid. In fact, as many as 50 percent of denied claims are eventually paid when the provider appeals the Explanation of Benefits (EOB).
AppealLettersOnline.com provides articles & case studies to assist medical providers resolve denied insurance claims.