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<i class="fa fa-calendar"></i> January 13, 2023
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<i class="fa fa-clock-o"></i> 60 Mins
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* (818) 584-2346 * customersupport@skill-knowledge.com * Mon - Fri: 8am - 6pm ET * * * Skill Knowledge MENU * Home * Trainings ► * Business Management * Finance * HealthCare * Housing & Constructions * HR & PayRoll * Manufacturing * Technology * Package * Speakers * Contact Us * Home * Trainings * Business Management * Finance * HealthCare * Housing & Constructions * HR & PayRoll * Manufacturing * Technology * Package * Speakers * Contact Us Login * Home * HealthCare * How to Defend Against Insurance Company Recoupments, Repayment Demands, and SIU Audits HOW TO DEFEND AGAINST INSURANCE COMPANY RECOUPMENTS, REPAYMENT DEMANDS, AND SIU AUDITS January 13, 2023 Available all day 60 Mins Thomas J. Force, Esq. Broadcast $199.00 Broadcast + DVD $299.00 Broadcast + Transcript $299.00 Broadcast + DVD + Transcript $349.00 Broadcast + Digital Download $299.00 Flash Drive $199.00 Digital Download + Transcript $299.00 Digital Download $199.00 Transcript $199.00 Digital Download + DVD $299.00 DVD + Transcript $299.00 DVD $199.00 Add to Cart All prices mentioned above are for single user access only. For multi-user access, kindly call us on (818) 584-2346 or email us at customersupport@skill-knowledge.com Live Chat Out of network (OON), providers keep facing recoupment, refund demand, and so-called special investigations (SIUs) from insurance payers and health plans. If you are an out of network provider, it is imperative that you balance bill your patients for the difference between charge and payment. The Webinar will discuss what recoupment and audit are, the reasons that insurance companies state are the reasons for the overpayments, and what steps should be taken to defend against the insurance company’s overpayment demands. The Webinar will address the ERISA obligations and protections and the importance of a provider obtaining a valid Assignment of Benefits. It will also set forth the notifications which must be sent out by the insurance company when it conducts an audit and seeks recoupment. Sign up for this 60 min Webinar where industry veteran Thomas J. Force, ESQ. will discuss the concept of full and fair review and that recoupment demands are considered “adverse benefit determinations”. He will advise the attendees of what information they are entitled to so that they can respond to and defend the audit findings and recoupment demands. Thomas will also discuss various court cases on these issues and the most common basis for recoupments, such as services not covered under the plan or non-compliant. > Webinar Objectives After attending this webinar, participants will learn: * How to respond to an audit and refund demand by never refunding money without demanding a written explanation for the recoupment. * How to respond to an audit and refund demand by verifying its accuracy. * How to object to a recoupment in writing. * About relevant court cases. * How to make written ERISA Demands in objection letters. * What to do if the insurance company does not comply with ERISA demands. * About relevant state insurance laws. * The time frames for seeking recoupment. * About the importance of obtaining a valid and enforceable AOB. * About mandatory information which must be provided to them during an audit. > Webinar Agenda * How to Defend Against Insurance Company Recoupments, Repayment Demands, and SIU Audits * What is Recoupment? * Characteristics of Recoupment Letter * Understanding Basic ERISA Obligations * Full and Fair Review * Recent Court Cases * Importance of obtaining Valid and Enforceable AOBs * When faced with a Recoupment * Unsupported Services * Interplay with Insurance Law * Are ERISA Demands are Not Met * If the Insurance Company Does Not Comply with ERISA Demands > Webinar Highlights * What should be done when a provider receives an audit or overpayment demand, * How to object, appeal, hire an expert, and make document requests. * The state insurance laws regarding time frames to request recoupments. * What happens when the insurance company does not comply with the ERISA demands. > Who Should Attend * In and Out of Network Providers * Medical Billing Companies * Providers’ Office Staff * Physician, Facilities * Healthcare attorneys THOMAS J. FORCE, ESQ. As a state and federally licensed attorney in both New Jersey and New York, Mr. Force has over 30 years of experience in the healthcare and insurance industries. His success as a Wall Street insurance litigator and his tenure as General Counsel for a New York-based Accident and Health Insurance Company where he served as Chief Compliance Officer propelled the founding of The Patriot Group. The Patriot Group is a full service revenue recovery company that provides billing, collections, and follow-up services as well as assistance with managed care appeals, managed care contracting, credentialing and compliance. Mr. Force is nationally recognized as an expert in revenue collection... Read More WE ALSO RECOMMEND Date Conferences Duration Price Feb 16, 2023 Litigating Against the Out-of-Network Health Plan – Cases Informing the Providers’ Perspective in 2021 and 2022 60 Mins $199.00 Register Now Aug 31, 2022 Drafting Effective Appeals and Defense of Recoupments 60 Mins $199.00 Register Now Jun 09, 2022 No Surprises Act of 2022-Do you know what this means for your practice? 60 Mins $199.00 Register Now Nov 04, 2021 Federal No Surprises Act – The IDR Process, Good Faith Estimates, and What Providers Need to Know 60 Mins $199.00 Register Now Jun 24, 2021 An Effective Out-of-Network Workflow to Increase Reimbursement and Stay Compliant 60 Mins $199.00 Register Now Jun 01, 2021 How to Draft Appeal Letters & To Resolve Denials Effectively 2021 Updates 120 Mins $349.00 Register Now Apr 14, 2021 The Successful Clinical Appeal – A Guide for the reconsideration and Appeal of Medical Necessity Denials 60 Mins $199.00 Register Now OFFICE LOCATION Skill-knowledge is an online training platform that provides most affordable and updated information, knowledge, updates, regulations to professionals across industries. * Address: 1400 Corporate Pointe Culver City CA, 90230 USA * Phone: (818) 584-2346 * Email: customersupport@skill-knowledge.com QUICK LINKS * Home * About Us * Contact Us * FAQ * Join Our Mailing List * Package * Refunds and Cancellations * Fulfillment & Delivery Policy * Privacy Policy * Terms & Conditions * Custom Trainings NEWSLETTER Subscribe to our newsletter for information on latest changes and compliance updates. Select Industry Banking Business Management Education Finance Food Safety HealthCare Housing & Constructions HR & PayRoll Leadership & Soft Skills Manufacturing Pharmaceutical Technology Technology Select Industry * Select Industry * Banking * Business Management * Education * Finance * Food Safety * HealthCare * Housing & Constructions * HR & PayRoll * Leadership & Soft Skills * Manufacturing * Pharmaceutical * Technology * Technology Subscribe Now! * * * * Copyright © 2023, Skill-Knowledge | All Rights Reserved. Live Chat