Health Plan Denials and Appeals

Author:

Schwartz Sandra1,McCarty Janet2

Affiliation:

1. Rangos School of Health Sciences, Department of Speech Pathology, Duquesne University Pittsburgh, PA

2. Health Care Economics and Advocacy, American Speech-Language-Hearing Association Rockville, MD

Abstract

Abstract Challenging health plan denials for voice treatment through appeals or advocacy efforts can pay off. This article describes the process of obtaining authorization for voice therapy, filing claims, establishing goals, preparing needed documentation, appealing claims through various levels including independent review, and developing an advocacy campaign if coverage is not offered or is very limited.

Publisher

American Speech Language Hearing Association

Subject

General Medicine

Reference9 articles.

1. The Use of Voice Therapy in the Treatment of Dysphonia

2. Comparison of three methods for the management of vocal fold nodules;Murray T.;Journal of Voice,1992

3. Treatment efficacy: voice disorders;Ramig L.;Journal of Speech, Language, and Hearing Research,1998

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