Appeals Toolkit

Appeals Toolkit PDF

Author: Tammy Tipton

Publisher: Opus Communications

Published: 2007

Total Pages: 155

ISBN-13: 9781601460967

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Combat denied claims and get paid what you deserve Don't take no for an answer You can turn denied insurance claims on their head and recover millions of dollars in lost revenue - revenue that your organization deserves. Be informed of your legal rights and use them to your advantage when submitting denied claims. Here's your biggest ally in fighting denied claims: The Appeals Toolkit: Turn healthcare insurance denials into dollars provides extensive information on appeal strategies and methods to incorporate into your processes to avoid being denied in the first place. Sample letters found in this comprehensive resource. no need to look anywhere else The Appeals Toolkit includes 25 tested, proven, and effective sample appeal letters from which you can model your own claims. These letters demonstrate the inclusion of legal citations and how to effectively demand a thorough response from a carrier. You'll have access to appealing the following denials: Incorrect payment Incorrect contractual adjustments Medical necessity Utilization review Preauthorizations Underpayments And more As an added bonus, you will receive chapters dealing with appealing claim denials for Medicare and the Employee Retirement Income Security Act (ERISA) Accompanying CD allows you to customize Use the book version of the Appeals Toolkit for quick reference, or use the accompanying CD-ROM to download the letters and customize them to your specific situation. You can simply search the denial area you need, then copy, paste and edit to suit your needs.

Appellate Advocacy in a Nutshell

Appellate Advocacy in a Nutshell PDF

Author: Alan D. Hornstein

Publisher:

Published: 1984

Total Pages: 378

ISBN-13:

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Effective Advocacy: in General; Theme; Structure; Appellate Process: Overview, Review Standards, Record, Jurisdiction. Multi-Judge Panels; Levels of Review: State Intermediate Courts, State Courts of Last Retort, Federal Courts of Appeals, Supreme Court; Taxonomy of Cases: Importance of Classification, Procedure; Criminal, Contracts, Torts, Administrative, Statutory, Constitutional; Arguments: In General, Fact; Doctrine, Policy; Process, Institutional; The Brief: Formalities, Petitioner, Respondent, Reply Briefs, Amicus, Questions Presented, Front Matter, Point Headings, Statement of Facts, Summary of Argument, Footnotes; Oral Argument: Preparation, Formalities, Style, First Petitioner, Second Petitioner, First Respondent, Second Respondent, Rebuttal, Authority, Hot and Cold Benches, Questions, Concluding; A Way of Working: Planning the Oral Argument, Learning From Experience, Planning, Performing and Reviewing Recursively (The Brief); Integrity of Argument.

A History of ALA Policy on Intellectual Freedom

A History of ALA Policy on Intellectual Freedom PDF

Author: Office for Intellectual Freedom (OIF)

Publisher: American Library Association

Published: 2015-07-01

Total Pages: 359

ISBN-13: 0838913253

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Collecting several key documents and policy statements, this supplement to the ninth edition of the Intellectual Freedom Manual traces a history of ALA’s commitment to fighting censorship. An introductory essay by Judith Krug and Candace Morgan, updated by OIF Director Barbara Jones, sketches out an overview of ALA policy on intellectual freedom. An important resource, this volume includes documents which discuss such foundational issues as The Library Bill of RightsProtecting the freedom to readALA’s Code of EthicsHow to respond to challenges and concerns about library resourcesMinors and internet activityMeeting rooms, bulletin boards, and exhibitsCopyrightPrivacy, including the retention of library usage records

The Critical Thinking Toolkit

The Critical Thinking Toolkit PDF

Author: Galen A. Foresman

Publisher: John Wiley & Sons

Published: 2016-08-29

Total Pages: 389

ISBN-13: 047065869X

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The Critical Thinking Toolkit is a comprehensive compendium that equips readers with the essential knowledge and methods for clear, analytical, logical thinking and critique in a range of scholarly contexts and everyday situations. Takes an expansive approach to critical thinking by exploring concepts from other disciplines, including evidence and justification from philosophy, cognitive biases and errors from psychology, race and gender from sociology and political science, and tropes and symbols from rhetoric Follows the proven format of The Philosopher’s Toolkit and The Ethics Toolkit with concise, easily digestible entries, “see also” recommendations that connect topics, and recommended reading lists Allows readers to apply new critical thinking and reasoning skills with exercises and real life examples at the end of each chapter Written in an accessible way, it leads readers through terrain too often cluttered with jargon Ideal for beginning to advanced students, as well as general readers, looking for a sophisticated yet accessible introduction to critical thinking

Carter G. Woodson's Appeal

Carter G. Woodson's Appeal PDF

Author: Carter Godwin Woodson

Publisher: Assoc for the Study of African American Life and H

Published: 2008

Total Pages: 178

ISBN-13: 9780976811190

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In 1921, a dozen years before he wrote his provocative classic, The Mis-Education of the Negro, Carter G. Woodson authored another work of social criticism. A stinging critique of white racism and a sterling defense of the Black race from its detractors, the manuscript was undoubtedly too caustic for white society and the author opted not to publish it in his lifetime. The work was rediscovered and edited by Daryl Michael Scott, professor of History at Howard University.

The Public Library Director’s Toolkit

The Public Library Director’s Toolkit PDF

Author: Kate Hall

Publisher: American Library Association

Published: 2019-05-07

Total Pages: 23

ISBN-13: 083891859X

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New public library directors quickly learn what seasoned directors already know: running a library means you’ve always got your hands full—balancing the needs of staff, patrons, facilities, library boards, and other stakeholders with professional responsibilities like community interactions, legal and financial requirements, and whole lot else that wasn’t exactly in the job description. Whether you are considering becoming a public library director, are brand new to the role, or have settled in but find yourself thinking “there’s got to be a better way,” authors Hall and Parker are here to help. This book walks you through the core components of getting up to speed and then provides templates, sample documents, checklists, and other resources that will make your job easier. Gleaned from their own decades of experience in library leadership positions, in this toolkit they - cover such key topics as employees, trustees, finances, legal issues, library policies, emergency planning, and technology; - discuss strategic planning and share advice on keeping up with trends; - offer nearly two dozen ready-to-use resources, including a Director’s Report Template, a Social Media Policy, an Employee Exit Questionnaire, a Library Cleaning Checklist, a Vision Statement worksheet, and more; and - suggest additional learning opportunities in each chapter to help you continue your learning journey. Public library directors can steer clear of common pain points by relying on the expert guidance and organizational aids in this toolkit.

Crisis Standards of Care

Crisis Standards of Care PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2013-10-27

Total Pages: 217

ISBN-13: 0309285526

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Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

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