Add similar services to reach the amount in controversy for appeals
Effective Oct 14, 2021
Published Oct 18, 2021
Last Reviewed Oct 14, 2021
Include a review of the amount in controversy (AIC) during your next training session for staff that works denials. Meeting the AIC is the only way to reach the third and fifth levels of appeal. Note that getting to the right amount isn’t as straightforward as adding up all the claims for a specific service that was denied for the same reason.
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