We focus on appeals so you can focus on patient care.
UDC’s approach to medical necessity appeals is to perform a systematic review and analysis of the clinical information found in a patient’s medical record to determine the appropriateness of a service or procedure, level of care for admission (inpatient versus observation) or continued inpatient stay. UDC’s clinical appeals & denials management team manages every step of the appeals process for you, therefore freeing your resources for other essential tasks.
CLINICAL APPEALS & DENIALS MANAGEMENT
UDC has clinical expertise to prepare hand created, well-thought-out medical necessity appeal letters. UDC can be your resource for focused, tailored appeal letters for claims denied on the basis of medical necessity. Our experienced clinical team of nurses will zealously advocate on your behalf with insurance payers to resolve underpayments related to interpretation of contact, medical necessity criteria, and payor policies by way of a strategically crafted and persuasive professional appeal letter.
How?
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Thorough & persuasive assessments supporting medical necessity
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Strategically formulated appeal letters to include a clinical summary with clinical indicators
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Citation of the criteria, guidelines, evidence-based research, payor policies, and applicable state and federal statutes
