Category
Denials, Appeals and Audits for Dietitians
What to do after a claim goes wrong: reading the remittance, fixing and resubmitting, appealing a denial, meeting filing deadlines, and documenting so a records request or an audit is routine instead of frightening.
Claim Rejection vs Denial: What's the Difference?
A rejected claim never reached adjudication; a denied claim did. How to tell them apart on a nutrition claim, and the right fix for each.
Audits & AppealsZ71.3 Denied? Why Payers Reject It and What to Use
Why Z71.3 triggers nutrition claim denials, how the preventive vs. medical split drives it, and how to find out what your payer accepts before you bill.
Audits & AppealsPayer Requested Your Chart Notes? What to Send (and Not)
A letter asking for your chart notes arrived. How to tell records retrieval from an audit, what to send, what never to send, and how to reply on time.
Audits & AppealsHow to Audit-Proof Nutrition Claims and Survive a Clawback
A system for MNT claims that hold up in a payer review: what triggers audits, a per-note checklist, the five clawback failure modes, and records requests.
Audits & AppealsTimely Filing Limits by Payer for Nutrition Claims
Timely filing limits for dietitian claims: typical payer windows, why late filing is the one unfixable denial, and the simple system that prevents it.
Audits & AppealsWhy Nutrition Claims Get Denied (and How to Fix Each)
The 9 most common reasons dietitians' MNT claims get denied or rejected, the CARC codes each shows up as, how to fix it, and the checks that prevent it.
Audits & AppealsInsurance Audits for Dietitians: Triggers & the First Letter
What triggers a payer audit of an RD's claims, and what the first letter means: records request, ADR, overpayment letter, recoupment. Plain-language guide.
Audits & AppealsHow to Read an ERA/EOB as a Dietitian
A plain-English remittance guide for RDs: CO vs PR vs OA, $0-paid ERAs vs real denials, adjustment codes, underpayment checks and payment posting.
Audits & AppealsHow to Appeal a Denied Nutrition Claim (Letter Template)
How to appeal a denied MNT claim: corrected claim vs. appeal, what to include, deadlines, escalation routes, and a copy-paste appeal letter template.
Audits & AppealsCharting for Medical Necessity: Notes That Survive Review
What medical necessity means for MNT charting, the elements payer reviewers check, a per-note necessity checklist, and phrases that help or hurt.
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