Health Plan Denials and Appeals Challenging health plan denials for voice treatment through appeals or advocacy efforts can pay off. This article describes the process of obtaining authorization for voice therapy, filing claims, establishing goals, preparing needed documentation, appealing claims through various levels including independent review, and developing an advocacy campaign if coverage is not ... Article
Article  |   March 01, 2008
Health Plan Denials and Appeals
Author Affiliations & Notes
  • Sandra Schwartz
    Rangos School of Health Sciences, Department of Speech Pathology, Duquesne University, Pittsburgh, PA
  • Janet McCarty
    Health Care Economics and Advocacy, American Speech-Language-Hearing Association, Rockville, MD
  • For more information or assistance in getting health plans to cover voice disorders and medically necessary treatment, please contact Janet McCarty, ASHA's Private Health Plans Advisor, by email at jmccarty@asha.org
    For more information or assistance in getting health plans to cover voice disorders and medically necessary treatment, please contact Janet McCarty, ASHA's Private Health Plans Advisor, by email at jmccarty@asha.org×
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Articles
Article   |   March 01, 2008
Health Plan Denials and Appeals
SIG 3 Perspectives on Voice and Voice Disorders, March 2008, Vol. 18, 27-32. doi:10.1044/vvd18.1.27
SIG 3 Perspectives on Voice and Voice Disorders, March 2008, Vol. 18, 27-32. doi:10.1044/vvd18.1.27
Abstract

Challenging health plan denials for voice treatment through appeals or advocacy efforts can pay off. This article describes the process of obtaining authorization for voice therapy, filing claims, establishing goals, preparing needed documentation, appealing claims through various levels including independent review, and developing an advocacy campaign if coverage is not offered or is very limited.

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