"Oftentimes, healthcare providers simply forget about the option of P2P. While the appeals mechanism may be the beaten path, sometimes the path less traveled is more effective in getting you to your destination."
The purpose of the P2P conversation is to avoid the often lengthy and expensive appeals process or to resolve issues that still exist even after an appeals process has occurred.
When correctly and consistently managed, P2P generally has a higher overturn rate than the standard, healthcare appeals process and also has a higher rate of preventing future denials.
With improved communication, reimbursement in the claim at issue can be regained and/or the healthcare provider can understand where the record of the care given falls short from the payer’s perspective, so that future denials can be prevented.
In this free whitepaper, you will learn:
- Key benefits of peer-to-peer (P2P) evaluation
- How P2P can help validate the need for denied outpatient or rehabilitation services
- Unexpected areas in which to utilize P2P options
- Tips for a successful P2P implementation in your organization
About Managed Resources
Managed Resources specializes in essential services such as medical coding support, revenue cycle management, medical billing and coding review, and many other managed healthcare solutions.
Since 1994, Managed Resources has partnered with organizations ranging from large health systems, tertiary and community hospitals, and renowned physician groups, providing leadership and expertise across their revenue cycle operations.
Representing the best talent in the industry, our experienced team is uniquely qualified to assist healthcare organizations in meeting their operations goals. Visit our website to learn more about our proven solutions.