Insurance Appeals for Medically Necessary Tests

Speaker:

Natalie Thurston RN, MBA, CPHQ

Contact Hours:

1.0

Date:

May 28, 2025 - May 31, 2027

Description:
This webinar outlines why insurance companies deny claims for medical necessity, what information is needed to appeal and the process for appealing these denied claims. The presentation covers processes that apply to most insurance companies. Please keep in mind that each payer may have a slight variation based on their internal processes or state insurance laws.
Learning Objectives:
  1. Explain why insurance companies deny “medically necessary” claims.
  2. Understand what information is needed to appeal these claims.
  3. Describe the general process for appealing these claims.