healthcare.trainingleader.com Open in urlscan Pro
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Submitted URL: http://safelinks.protection.outlook.com/?url=http%3A%2F%2Fwec.coding-advisor.com%2Ft%2F10135871%2F96185181%2F2956164%2F5%2F%3F3b64e84d%3...
Effective URL: https://healthcare.trainingleader.com/product/steps-to-take-after-getting-demand-letter/?utm_source=230629AUD_W4062327_eng-10005458&ut...
Submission: On July 21 via api from US — Scanned from DE

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Home / Products / All Trainings / Fight Audits, Recoupments w/ Proven Demand
Letter Responses

Home / Payer Audits / Fight Audits, Recoupments w/ Proven Demand Letter
Responses



FIGHT AUDITS, RECOUPMENTS W/ PROVEN DEMAND LETTER RESPONSES

Length: 60 Minutes Expert: Sean M. Weiss, CHC, CMCO, CEMA, CPMA, CPC-P, CMPE,
CPC

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Simply accepting the terms laid out in insurance demand letters, subpoenas and
audit notifications could prove to be a massive mistake for your practice. In
many instances, you can reverse payer investigations, audits, accusations, and
recoupment requests—but it all depends on how you respond.

Once you receive a demand letter, your first course of action should be to craft
a response that can help move the needle in your favor. However, this is not as
easy as it sounds. To be successful, your responses must be tailored to specific
nuances in each letter. This might not come naturally at first, but it can
become second nature, if you know how…

National appeals management expert Sean M. Weiss, CHC, CMCO, CEMA, CPMA, CPC-P,
CMPE, CPC, can help. During his online training session, Sean will provide you
with actionable tips that you can use to respond to every possible type of
demand letter you’ll receive. He’ll walk you through the specifics of how to
respond to audit requests, recoupment notices, inspection alerts, subpoenas, and
other notifications you may get.

Here are just a few of the time-tested insurance demand letter response
strategies you’ll receive by attending this 60-minute online training:

 * Write engaging responses without giving away too much information
 * Utilize proven response verbiage that will get attorneys, payers and others
   on your side
 * Overturn recoupment demands and get your money back
 * Stave off audit requests with time-tested language that works
 * Justify medical necessity when payers believe you haven’t proven it
 * Successfully appeal documentation requests within the deadline by mastering
   response timelines
 * Differentiate a notice of investigation from a demand for records
 * Combat overreaching subpoena requests by successfully putting legal
   guidelines to work for you
 * Identify when it’s time to call a lawyer and when you can go it alone
 * Reverse payer decisions, even when they claim the determination is final
 * And much, much more…

Your response to a demand letter could be the difference between hanging onto
thousands of dollars and having to pay it back, so this training could be one of
the most cost-effective things you’ve ever done for your practice. Not only will
Sean help you craft your response plan, but he’ll also lay out the step-by-step
process every practice must utilize to successfully respond to every type of
demand letter you might receive.

Don’t hesitate. Sign up for this 60-minute online training today so you can
respond to every letter without stress. Register right away to ensure your
access.

Order Now


MEET YOUR EXPERT


SEAN M. WEISS
CHC, CMCO, CEMA, CPMA, CPC-P, CMPE, CPC

Sean has dedicated his career to serving and advocating on behalf of health care
providers, hospital networks, and integrated health systems to ensure a level
playing field and due process. Over the past 27-years Sean has focused on
helping organizations achieve measurable financial results to ensure stability
in their market all while significantly reducing the risk of non-compliance.
Sean’s knowledge of the inner workings of government agencies at both the state
and federal level make him an invaluable asset to clients.

Sean leads the strategic litigation defense and audit team for
DoctorsManagement, LLC. Sean is engaged by the largest and most revered law
firms in the nation on matters tied to the False Claims Act and Health Care
Fraud Statute cases to ensure the best possible defense for clients targeted by
government agencies, their contractors, and commercial payer special
investigative units. Sean serves as a third-party Compliance Officer for
numerous nationally-recognized organizations across the country creating and
ensuring a “Culture of Compliance” to mitigate risk and culpability.





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