Peer-to-Peer Phone Calls and Letters Appealing Insurance Denials of Service: Practical Tips and Resources

Author:

Pasetsky Jared,Garcia-Young J. Alex,Beatley Emilio,Yu James B.ORCID

Funder

Boston Scientific Corporation

Publisher

Elsevier BV

Reference7 articles.

1. Measuring the scope of prior authorization policies: Applying private insurer rules to medicare part B;Schwartz;JAMA Health Forum,2021

2. Estimating the practice-level and national cost burden of treatment-related prior authorization for academic radiation oncology practices;Bingham;JCO Oncol Pract,2022

3. American Hospital Association. Addressing commercial health plan abuses to ensure fair coverage for patients and providers. Accessed May 14, 2024. https://www.aha.org/system/files/media/file/2020/12/addressing-commercial-health-plan-abuses-ensure-fair-coverage-patients-providers.pdf.

4. Futility of the third-party peer-to-peer review process and entailed delays to cancer-directed therapy;Koffler;Int J Radiat Oncol Biol Phys,2022

5. Biniek JF, Sroczynski N. Over 35 million prior authorization requests were submitted to Medicare Advantage plans in 2021. Accessed May 14, 2024. https://www.kff.org/medicare/issue-brief/use-of-prior-authorization-in-medicare-advantage-exceeded-46-million-requests-in-2022/

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