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• 1 6-Step Plan for Restructuring Your Appeals Process

• 2 Documentation Determines Off-Label Drug Payment

• 3 Identify Denials From 4 Common EOBs and Respond Appropriately

• 4 Choose Wisely: Capitation Agreements Run the Gamut

• 5 You Be the Expert: CMS Unleashes PET Coverage

• 6 Reader Question: Catch Up With CCI Edits

• 7 Reader Question: Opt Out of Trouble When You Opt Out of Medicare