Initiated by the provider, a peer-to-peer
(P2P) conference is one of the rare moments
in healthcare in which clinicians directly
interface with healthcare payors. The purpose
of these meetings is to determine whether to
uphold a denial of coverage for a specific claim.
Providers have the opportunity to present their
reasoning with respect to procedures performed
and codes selected to reflect the work that has
been done. Achieving a meaningful outcome
requires planning and preparation.
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