2. Premier Medical Appeals
Premier Medical Appeals
(PMA) seeks to partner with
hospitals, physicians and other
healthcare providers to safeguard
revenue. We recognize that the
profit margin for the healthcare
provider has contracted and that
every reimbursement is important.
Premier Medical Appeals has an
experienced staff of highly trained
clinical personnel. This team is ca-
pable of navigating the unique and
often complex payer requirements
that must be met in order to receive
reimbursement for services. Our
expertise is in developing an appeal
response to all types of payer deni-
als. Our clients have profited from
our knowledge of evidence-based
medicine and level of care criteria.
OUR VISION: To promote sustain-
able financial health for our client
partners by delivering appeals that are
prompt, persuasive and designed to
attain the highest overturn rate in the
industry
OUR MISSION: to promote and fos-
ter our clients’ profitability by craft-
ing expert appeal letters that address
the complex and often contradictory
reimbursement models
OUR VALUES: Our operating dis-
cipline revolves around respect and
ethical behavior as the basis for every-
thing we do. We embrace health in all
its forms, and we seek to create and
maintain a culture of health in order
to better serve our clients. Our core
values are:
• Transparency
• Integrity
• Reliability
• Diversity
• Charity
• Respect
SCOPE: Premier Medical Appeals is
seeking to partner with providers to
overturn denials of the following types:
• Medical Necessity
• Two Midnight
• Lack of Authorization
• Coding
• Medicare Audits
• Medicaid Audits
ADDITIONAL SERVICES:
• Provider Liable Review
• Retrospective Review
REPORTING: Premier Medical
Appeals will be able to help the
provider sustain profitability by
identifying the denial cause. Each
month PMA will generate a detailed
report of all denials by type, payer
and physician. This information can
be used by the corporate officers and
medical executives to heighten the
knowledge of the providers as a means
to help reduce future denials. PMA
team members can also be engaged to
participate in these training sessions to
enhance the learning opportunity.
