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    Appeals Process Guides

    November 30, 2018

    New documents provide guidance on the appeals process for managed care and commercial plans and the Centers for Medicare & Medicaid services.

    Resources include:

    • How to Write an Effective Appeal Letter
      • This step-by-step guide includes administrative tasks, how to construct the letter, and a letter template.
    • Appeal Process Summary for Commercial and Managed Care
      • This chart includes a list of payers, filing time frames, appeal levels, and contact information.
    • Appeal Process Summary for the Centers for Medicare & Medicaid Services
      • This chart includes appeal levels, process, filing time frames and contact information.

    To download these documents, visit the Revenue Cycle Optimization (Billing) folder on the resource library at www.nycreach.org.

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    ABOUT NYCREACH.ORG

    NYC REACH is a free membership organization that supports private practices, community health centers, health systems and pharmacies. NYC REACH assists members with health information technology, primary care workflows, medication therapy management, chronic disease self-management, the referral process, and other quality improvement projects.

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