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This document is an adjudication regarding an appeal by Monongahela Valley Hospital against a denial of reimbursement based on an incorrect diagnosis submitted for a patient's admission.
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How to fill out APPEAL OF: MONONGAHELA VALLEY HOSPITAL

01
Obtain the APPEAL OF: MONONGAHELA VALLEY HOSPITAL form from the hospital's website or front desk.
02
Fill out your personal information accurately, including your name, address, and contact details.
03
Provide the specific details regarding the circumstances of your appeal, including date of service and reason for the appeal.
04
Attach any relevant documentation or evidence to support your case.
05
Review the completed form for any errors or omissions.
06
Submit the appeal form either online, via mail, or in person, depending on the submission guidelines provided by the hospital.
07
Keep a copy of your submitted appeal for your records.
08
Follow up with the hospital if you do not receive a response within the specified timeframe.

Who needs APPEAL OF: MONONGAHELA VALLEY HOSPITAL?

01
Patients who have received medical services at Monongahela Valley Hospital and wish to contest a bill or a decision made by the hospital.
02
Individuals who feel that their rights have been violated or that they have not received adequate care.
03
Patients seeking reimbursement for services deemed necessary but not covered by their insurance.
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The officers of Monongahela Valley Hospital's Board of Trustees and Mon-Vale Health Resources, Inc.'s Board of Directors include Vice Chairman Jeff M. Kotula; Chairman R. Carlyn Belczyk; and Secretary Bradley M. Bassi.
The officers of Monongahela Valley Hospital's Board of Trustees and Mon-Vale Health Resources, Inc.'s Board of Directors include Vice Chairman Jeff M. Kotula; Chairman R. Carlyn Belczyk; and Secretary Bradley M. Bassi.
Penn Highlands, which owns hospitals in Fayette and Washington counties and elsewhere, reported an operating loss of $46.83 million on operating revenue of $966 million for the year ending in June, 2024, continuing two years of red ink.
Monongahela Valley Hospital officially joined Penn Highlands Healthcare, effective Oct. 1, following recent regulatory reviews and approvals.
During the hearing, Steven M. Fontaine, Penn Highlands Healthcare CEO, was a member of a three-person panel testifying on the issues that threaten rural healthcare sustainability in Pennsylvania and strategies that could be implemented to ensure continued care to the public.
Penn Highlands became affiliated with WRC in 2022 and operates facilities in multiple counties.

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The APPEAL OF: MONONGAHELA VALLEY HOSPITAL is a formal request to dispute a decision made by the hospital regarding a patient's care, billing, or other administrative matters.
Patients, guardians, or authorized representatives of patients who disagree with a decision made by Monongahela Valley Hospital are required to file the appeal.
To fill out the appeal, obtain the appeal form from the hospital's website or administrative office, provide necessary patient information, clearly state the reason for the appeal, and submit it through the specified channels.
The purpose of the appeal is to allow patients or their representatives to challenge decisions made by the hospital concerning care, treatment, or billing, and seek a resolution or reconsideration of those decisions.
The appeal must include patient identification information, details of the decision being appealed, reasons for the appeal, and any supporting documentation relevant to the case.
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