Clinical Appeals - Downgraded Level of Care

 "We were able to demonstrate that the payer did not adjudicate the claim correctly in accordance with the payer’s policy guidelines for this specific level of care.... Within two weeks, we recovered $14,262 of denied revenue."

Gain valuable insights from a challenging case study on a Downgraded Level of Care denial which our talented team of Clinical Appeals RNs was able to successfully overturn. Download the case study to learn how.