In order to expedite the appeals process, please provide the following information.
- Insurance EOB and denial letter
- Patient information and history
- Relevant COW scores upon admission and subsequent COW scores post ST Genesis application
- Letter of medical necessity
Disclaimer: Information on coding and payment is provided as a courtesy for educational purposes only and shall not be construed as a guarantee of coverage or payment. Speranza and its agents make no guarantees regarding reimbursement for any item or service. Speranza and its agents also make no representations regarding the availability of payment at any particular level. Health Care Providers should confirm coding, coverage, and payment guidelines from each patient's payer, because each payer may have differing policies. Payer policies are subject to frequent change, including frequent changes to the rules governing Medicare coverage and reimbursement. Speranza does not guarantee or warrant that the information provided herein is or will remain applicable. Health Care Providers are solely responsible for accurate completion of all reimbursement or coverage related documentation, including information submitted on claims and documentation of patient conditions and of the medical necessity for each product that is ordered.