Appeals

Administrative Appeals

We apply a collaborative & comprehensive approach to each
and every case referred to us

For denial intervention and prevention purposes, we believe that every denial and every variance should receive prompt analysis. For providers facing significant volume thresholds, particularly with the RACs and MICs on the way, we are your destination to fill any resource gaps.

At Washington & West, we apply a collaborative and comprehensive approach to each and every case referred to us. An Attorney and Reimbursement Analyst continually audits every case to ensure quality at each step in the appeal process.

Our staff analyzes administrative and technical denials utilizing relevant state law, federal law, and contract terms. Once an appeal is filed, every appeal is aggressively followed up until an overturn is received and payment is posted to the hospital system. This is a critical element of our process, in addition to providing detailed reporting and analysis. If you are interested in benchmarking to analyze results with your current processes and vendors, please contact us.