title: Maximizing reimbursement by appealing claim denials.
abstract: Providers continue to lose millions of dollars from payers' abusive practices. An immediate way to increase reimbursement rates is to know and understand effective administrative appeal processes. These processes are usually defined by contract or by statute. Recent amendments to regulations governing ERISA are helpful to providers.
authors.affiliation: Harris Kessler & Goldstein LLC, Suite 590, 640 N. LaSalle, Chicago, IL 60610, USA. jmarks@hkgold.com
authors.forename: James W
authors.initials: JW
authors.lastname: Marks
mesh_terms: D032982:Contracts / Q000331:legislation & jurisprudence; D019461:Employee Retirement Income Security Act; D006801:Humans; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence*; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence*; D011216:Practice Management, Medical / Q000191:economics* / Q000331:legislation & jurisprudence; D014481:United States