CPT Corner: What You Need to Know About the Peer-to-Peer Conference
June 2021
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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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