Ep. 16: "Experimental" Appeals

Updated: Apr 19, 2018

A month ago we recorded a podcast that focused on how to draft an appeal for claims denied on the ground that the prescribed item was not medically necessary. In this companion podcast, we go through the same exercise for items denied because they are deemed "experimental and investigational." 

What are the differences between the two types of appeals? How do you disprove a payer's contention that an item is experimental? This podcast covers it all.

Listen here

Podcast summary