Readmission Appeal Prep Builder

Policy R002 · Medicare Advantage & Commercial · Nurse prep → Medical Director review

v11

Tool 12 — Readmission Appeal Prep Builder · v11.
Governing documents: Aetna Readmissions Payment Policy R002 (Rev. 07/07/20) and CMS Quality Improvement Organization Manual, Pub. 100-10, Ch. 4, §4240 (Rev. 2, 07-11-03).
Runs entirely in the browser on file://. No server, no network calls, no telemetry. Case data stays in this browser's local storage on this machine. AI assistance uses the Copilot Bridge: the records go to the approved Copilot agent, and this tool parses the reply you paste back. This file never transmits PHI.

This tool prepares cases and applies the policy's own stated logic to reviewer-supplied findings. It does not make determinations.