Doc Social | The Insurance Denial Games | Activity https://doc.social/groups/the-insurance-denial-games/ Activity feed for the group, The Insurance Denial Games. Wed, 15 Apr 2026 23:46:09 -0400 https://buddypress.org/?v=2.9.20 en-US 30 hourly 2 963c1d4226775a539dfd1bf539f478f3 Kashif Nazir joined the group The Insurance Denial Games https://doc.social/activity/p/22827/ Wed, 05 Mar 2025 14:33:39 -0500 0 ce9f21f6440e3de030275010a7b4d251 Anjum Shaikh CCS,CPC joined the group The Insurance Denial Games https://doc.social/activity/p/21122/ Thu, 07 Mar 2024 14:51:26 -0500 0 94f76c3160a563319649b5f3c4d9b9de Turbett Surgical joined the group The Insurance Denial Games https://doc.social/activity/p/20731/ Sun, 14 Jan 2024 19:22:35 -0500 0 06ec18a1554bd7e36bfb5c768841f559 Robert Masson joined the group The Insurance Denial Games https://doc.social/activity/p/20703/ Thu, 11 Jan 2024 14:33:19 -0500 0 05403f5ab973bc55e30324a6de55360c Mike Wagner joined the group The Insurance Denial Games https://doc.social/activity/p/20693/ Tue, 09 Jan 2024 19:04:13 -0500 0 f73582f19b0f74d078fab011cc170e78 Vardhan Enlight joined the group The Insurance Denial Games https://doc.social/activity/p/20548/ Sun, 31 Dec 2023 17:59:22 -0500 0 4148b6b762436674b68d00a0eb685ab7 SHIVAM KUMAR joined the group The Insurance Denial Games https://doc.social/activity/p/20541/ Sat, 30 Dec 2023 09:07:29 -0500 0 087f58a15e700b754a038ba477a3086e Ravi Prajapati joined the group The Insurance Denial Games https://doc.social/activity/p/20466/ Thu, 14 Dec 2023 16:02:57 -0500 0 77754c09c20f8589423e7a103f0b34f4 Bilal Ahmad joined the group The Insurance Denial Games https://doc.social/activity/p/20086/ Thu, 30 Nov 2023 20:22:55 -0500 0 6e1045787ed018e3284b19d3dd618a2f Faheem U. Khan joined the group The Insurance Denial Games https://doc.social/activity/p/19596/ Tue, 26 Sep 2023 19:48:51 -0400 0 374a609a28ab724e8229a184807b4543 Alexandra Adler, MD joined the group The Insurance Denial Games https://doc.social/activity/p/19582/ Mon, 25 Sep 2023 11:50:15 -0400 0 3b368854fbe6db5ec7f3f8864d15cbc1 Jahangir Asghar joined the group The Insurance Denial Games https://doc.social/activity/p/19559/ Wed, 20 Sep 2023 23:32:13 -0400 0 81eeb6d4ba24c82abd2d3532f20491ee Ehsan Misaghi joined the group The Insurance Denial Games https://doc.social/activity/p/19191/ Mon, 21 Aug 2023 22:50:37 -0400 0 acb600ca1db72d2801d47a68baf48537 Saeed Ahmad joined the group The Insurance Denial Games https://doc.social/activity/p/19135/ Mon, 21 Aug 2023 05:45:11 -0400 0 ff20c05acf4bcc2af3624f77659b8188 Lokesh Bargujar (Matt Carter) posted an update in the group The Insurance Denial Games: Insurance denials in US healthcare can be a frustrating […] https://doc.social/activity/p/18116/ Mon, 17 Apr 2023 02:50:43 -0400 Insurance denials in US healthcare can be a frustrating and time-consuming issue for both patients and healthcare providers. Insurance companies may deny claims for various reasons, such as incorrect or incomplete information, lack of medical necessity, or not following specific guidelines or policies.

CPT codes, or Current Procedural…

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]]> 0 26458aa7280c49a06e98062ff9fdb4f3 Parminder kaur joined the group The Insurance Denial Games https://doc.social/activity/p/17967/ Thu, 06 Apr 2023 16:58:25 -0400 0 ae834251aa9d9f27765e5b273b389822 Saket Bamel joined the group The Insurance Denial Games https://doc.social/activity/p/17957/ Thu, 06 Apr 2023 16:55:19 -0400 0 04ce2d80d714158ae9e75901121df94f Lokesh Bargujar (Matt Carter) posted an update in the group The Insurance Denial Games: Hello Everyone,I am new in this group. Healthcare […] https://doc.social/activity/p/17848/ Mon, 27 Mar 2023 20:09:49 -0400 Hello Everyone,

I am new in this group.

Healthcare providers face a lot of denials due to incorrect billing, patient demographics, Coordination of benefits, incorrect or missing modifiers, a procedure code’s payment is included in other procedure that is billed along with denied procedure, no authorization, no referral etc.

There are a lot of…

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]]> 0 d44bff2c20abde8851356932dc09821f Lokesh Bargujar (Matt Carter) joined the group The Insurance Denial Games https://doc.social/activity/p/17847/ Mon, 27 Mar 2023 20:02:25 -0400 0 86bda045d1a4b4d775cf4be587042318 Hafsa Manzoor joined the group The Insurance Denial Games https://doc.social/activity/p/17813/ Sun, 26 Mar 2023 00:13:24 -0400 0 7c11b6cbfa365671bb6542074b54ee30 Bill Prosser joined the group The Insurance Denial Games https://doc.social/activity/p/17773/ Sun, 19 Mar 2023 22:58:21 -0400 0 4fab5fef3873e2a7a448d4c71c77d8c8 Sarah Clare Leal joined the group The Insurance Denial Games https://doc.social/activity/p/17668/ Sat, 25 Feb 2023 14:42:20 -0500 0 9597c88a91183851e51dd5ba8da6d3fa Sam Moen joined the group The Insurance Denial Games https://doc.social/activity/p/17510/ Thu, 02 Feb 2023 21:33:03 -0500 0 3b3a364538e17d8f677f36309f720487 William "Chappy" Chapman joined the group The Insurance Denial Games https://doc.social/activity/p/16887/ Sat, 03 Dec 2022 13:22:44 -0500 0 e8dcf6472e377d84ee64d4682581efed Melissa McAniff joined the group The Insurance Denial Games https://doc.social/activity/p/16843/ Mon, 28 Nov 2022 16:13:44 -0500 0 5a5bb4eb63f7f1ac54f9e903c8a4a86b Mark Wiltshire joined the group The Insurance Denial Games https://doc.social/activity/p/16795/ Thu, 17 Nov 2022 15:37:23 -0500 0 0d761c42930c4fa8b93d5d101357e32a jessica zampedri joined the group The Insurance Denial Games https://doc.social/activity/p/16310/ Thu, 15 Sep 2022 18:50:19 -0400 0 d2e1ef984d39c65b090e8e1dfb250b07 Craig Kramer joined the group The Insurance Denial Games https://doc.social/activity/p/15550/ Tue, 26 Jul 2022 16:14:21 -0400 0 6da118c19f91f05151c644364fb3926c Shahriyar Rahmati joined the group The Insurance Denial Games https://doc.social/activity/p/15529/ Mon, 25 Jul 2022 02:52:21 -0400 0 3c02d5af970d9abfd6f649c3ff73a8bc Cerapedics Inc. joined the group The Insurance Denial Games https://doc.social/activity/p/15188/ Thu, 23 Jun 2022 13:53:40 -0400 0 05e5d7de7dfbed6e38df95c36a38d575 Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI joined the group The Insurance Denial Games https://doc.social/activity/p/14693/ Fri, 06 May 2022 14:27:34 -0400 0 b6a67509d673d57e0a92722415c99477 DJ Driscoll joined the group The Insurance Denial Games https://doc.social/activity/p/14375/ Sun, 17 Apr 2022 14:15:42 -0400 0 870fecf1842922c455f0d22322300aff David Klinkon joined the group The Insurance Denial Games https://doc.social/activity/p/14172/ Wed, 06 Apr 2022 22:54:32 -0400 0 8efaf33d20d5297441a5c48d0c6dffa0 William Kurtz joined the group The Insurance Denial Games https://doc.social/activity/p/13950/ Sun, 27 Mar 2022 01:19:11 -0400 0 0b7f0cf0f7a3b6906ed555ed7189d174 Patrick Larkin joined the group The Insurance Denial Games https://doc.social/activity/p/13587/ Thu, 10 Mar 2022 22:05:16 -0500 0 d1802535910fe788a9e88e3c6c20dba5 Juby George-Vaze joined the group The Insurance Denial Games https://doc.social/activity/p/13310/ Wed, 02 Mar 2022 22:07:23 -0500 0 80ba060b09d3198af16f23087bc50905 Karlene Dittrich, CBCS, CPC, CPMA, CECCS joined the group The Insurance Denial Games https://doc.social/activity/p/13230/ Fri, 25 Feb 2022 19:26:22 -0500 1 8b35d274e177a5fce6788686438f79dd Thomas Blum posted an update in the group The Insurance Denial Games: Hello everyone, nice to be in this group with you […] https://doc.social/activity/p/13120/ Fri, 18 Feb 2022 16:12:09 -0500 Hello everyone, nice to be in this group with you all!

I would like to bring up the topic of denials for scope procedures in which an orthopedic surgeon performs a procedure/repair that was unexpected and not pre-authorized.

For example, if a surgeon is expecting to perform a labral repair in the GH joint but upon viewing the joint through…

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]]> 2 e720f8e0274ce253edf62ba7f684c9b2 Thomas Blum joined the group The Insurance Denial Games https://doc.social/activity/p/13082/ Tue, 15 Feb 2022 18:41:03 -0500 0 12948b7e79e41322c4bac416677ff0c0 Abid Majeed joined the group The Insurance Denial Games https://doc.social/activity/p/12858/ Mon, 07 Feb 2022 00:11:12 -0500 0 0495d1f18c052a952c887425affefb92 Mike Eaves joined the group The Insurance Denial Games https://doc.social/activity/p/12854/ Sun, 06 Feb 2022 22:06:55 -0500 0 75f56f835f76a8cc1bdaae9d366fbf1a Aaron Wilcoxson joined the group The Insurance Denial Games https://doc.social/activity/p/12637/ Wed, 26 Jan 2022 13:41:58 -0500 0 7cf5f9f15ec57e4ead95943a6257f00d Brett Jones joined the group The Insurance Denial Games https://doc.social/activity/p/12482/ Mon, 17 Jan 2022 03:21:25 -0500 0 4c3fbc3625aba9f8fc129a8a4f3cfe25 Brittney Bertagna joined the group The Insurance Denial Games https://doc.social/activity/p/12474/ Sat, 15 Jan 2022 20:29:15 -0500 0 ae9957e24d586172fa8e662d1959d6b7 Kimberly Huff joined the group The Insurance Denial Games https://doc.social/activity/p/12396/ Mon, 10 Jan 2022 19:47:34 -0500 0 cad34e4a7d728de8b3d3dcb6aa62b0e3 Philip Meier joined the group The Insurance Denial Games https://doc.social/activity/p/12390/ Mon, 10 Jan 2022 16:19:04 -0500 0 f111f650c7e4efdd59c9e69061d73c05 Ira Kirschenbaum posted an update in the group The Insurance Denial Games: We are now 35 strong in this group. Let's put together […] https://doc.social/activity/p/12386/ Mon, 10 Jan 2022 14:03:12 -0500 We are now 35 strong in this group. Let’s put together a “TERM SHEET”- on this discussion board of a list of items that need to go into state-level insurance reform related to clinical interference of the insurance companies. I will start with these three (from my last post):

1. All plans must have an out-of-network component that pays at…

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]]> 2 aee2f4f8557bef1361f238a478bca757 Ira Kirschenbaum posted an update in the group The Insurance Denial Games: I believe legal reform starts with state governments as […] https://doc.social/activity/p/12385/ Mon, 10 Jan 2022 13:59:48 -0500 I believe legal reform starts with state governments as the governing body should be the Department of Health in each state. In NY State, insurance is under the Department of Finance and there is no way to levy a complaint about clinical interference. First start basic, state level, legal protections for any patient purchasing a health…

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]]> 0 abee8c9bf9efa2892626dbdc92e410be Alok Sharan posted an update in the group The Insurance Denial Games: Horizon requires imaging to be done within six months […] https://doc.social/activity/p/12371/ Fri, 07 Jan 2022 20:45:38 -0500 Horizon requires imaging to be done within six months for spine surgery approval. Here is a recent letter.


Based on Horizon Spine Surgery Guideline, we cannot approve this request. The requested service is supported when you have had an advanced imaging study, a detailed picture study, within the last 6 months confirming that your spinal canal…

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]]> 1 d8d852844aa5580ee82df55609cac811 Alok Sharan posted an update in the group The Insurance Denial Games: Horizon Blue Cross NJ was attempting to deny an […] https://doc.social/activity/p/12361/ Thu, 06 Jan 2022 10:41:04 -0500 Horizon Blue Cross NJ was attempting to deny an ACDF claiming that it was from a work related injury. In our notes we had written that he had a work related injury 10 years ago that affected his left shoulder and neck. Fortunately his shoulder injury was filed as a worker’s comp event so we were able to point out that the neck was not due to…

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