Purpose
To establish a standardized process for evaluating the likelihood that a completed appeal will be overturned. This ensures quality assurance, informs follow-up actions, and provides data for continuous improvement.
Policy
After an appeal letter has been completed, appeal writers must use the approved Likelihood of Overturn Scorecard to assess the appeal’s projected chance of overturn. This post-drafting evaluation informs management, guides follow-up, and supports training and process improvement.