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We offer an unparalleled and cost-efficient assortment of healthcare outsourcing solutions.

Welcome to LKN Strategies

We offer a comprehensive assortment of healthcare outsourcing solutions.

LKN Strategies offers unparalleled and cost-efficient solutions covering the entire range of the revenue cycle management process to the healthcare industry. Our best-in-class are a result of our exceptionally trained subject matter experts and our uncompromising compliance norms. LKN Strategies is a business process outsourcing partner that you can trust. 

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Home Health Medical Coding Services
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Grow your productivity with our cost-efficient home health medical coding services.

Guarantee success no matter what stage you are at in starting a home health care agency with our knowledgeable and experienced certified consultants.
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5 STAGES OF CMS APPEALS

STAGE
1

Redetermination

When initial review is denied for PCR; PPR; ADR; UPIC; RAC, etc. and providers of the claim is denied, you have 120 days to submit a Redetermination Request (30 days from date of initial decision demand to avoid recoupment). This request is handled by the Medicare administrative contractor (MAC). If the claim is denied you have 60 days to submit an appeal request to level 2 to avoid recoupment.
STAGE
2

Reconsideration

Reconsideration is step 2 in the appeals process. You have a maximum of 180 days to submit your appeal. You will submit your documentation with the request for reconsideration and a detailed "rebuttal" of the reason(s) you disagree with the decision made at level 1. This review is completed by qualified independent contractors. If denied, you may move to stage 3. You have 60 days from date of receipt of Reconsideration.
STAGE
3

AU

At level 3 you will have a chance to present your appeal case to an Administrative Law Judge. You will need to submit a request and a detailed rebuttal as to why you disagree with the level 2 appeal decision. Your claim will only be elevated to level 3 if it meets the minimum dollar amount. For 2022, the required minimal amount is $180.00 If denied, you may try stage 4. You have 60 days from date of receipt of AL decision.
STAGE
4

MAC

The Medicare Appeals Council reviews the appeal decision made by the AU. If the claim is denied, you have 60 days to submit a request for judicial review by a federal district court.
STAGE
5

Federal Court

To get a judicial review in federal district court, the amount of your case must meet a minimum dollar amount. For 2022, the minimum dollar amount is $1760. You may combine claims to meet this dollar amount. Follow the MAC's decision letter you received at level 4 tafileacomnaint.
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LKN STRATEGIES is a healthcare consulting, medical billing, revenue cycle and business management firm with over 20 years of industry experience. 

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