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Effective URL: https://www.thewebinarhub.com/healthcare/drafting-effective-appeals-for-denial-and-under-reimbursement-of-medical-claims?utm_s...
Submission: On September 29 via manual from IL — Scanned from DE
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Phone: +1 847-268-3838 | Email: emails@thewebinarhub.com My Account Wishlist My Cart 0 Login Menu * Home * About * Webinars * Business Management * COVID-19 Trainings * Finance * HealthCare * Housing & Constructions * HR & Payroll * Leadership * Manufacturing * Pharmaceutical * Technology * Speakers * Packages * Books Home > HealthCare HOW TO DRAFT AN EFFECTIVE APPEAL LETTERS & INCREASE REIMBURSEMENTS August 31, 2022 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 $299.00 Digital Download + Transcript $299.00 Digital Download $249.00 Transcript $249.00 Digital Download + DVD $349.00 DVD + Transcript $349.00 DVD $299.00 Buy Now Message Us Out of network and In-Network healthcare providers are now struggling to recover profits for their facilities and medical practices. In this session, Out of network and In-Network healthcare providers will learn techniques designed to get denials reversed and low-reimbursed out-of-network claims reprocessed at higher reimbursement rates. In general, insurers/payors use numerous tactics and make various assertions in order to avoid payment. These tactics and assertions, based on your feedback often include: * Claims denied because MRS do not Support Services Billed. * Claims denied for Medical Necessity/Experimental/Investigational. * Inclusive/Bundling. * Retroactive denials and claw-backs Join this information packed session with industry expert speaker Thomas J. Force, Esq. to learn about effective techniques to get denials reversed and under-reimbursed out-of-network claims reprocessed at higher reimbursement rates. Attendees will receive instructions from Thomas Force how to draft an effective appeal including documents to enclose to ensure the appeal is processed and not rejected. > Webinar Objectives Attendees will learn techniques to effectively defend payor audits and refund demands. > Webinar Agenda * Biggest Offenders & Most Common Complaints * Understand Why a Claim Was Denied * ID the Necessary Documents for a Successful Appeal * Know Your Appeal Rights (Including Under ERISA) * Capture Payment on Medical Necessity Claim Denials * Capture Payment on Coding-Based Claim Denials * Appealing GAP Exception Request Denials * Capture Payment on Low-Pay Claim Appeals * Recoupment Demands * Cross-Plan Offsetting * State Prompt Pay Laws * State Unfair Claim Settlement Practices * Appeals and Reconsiderations * No Surprises Act > Webinar Highlights Types of appeals/denials to be discussed include: * Medical necessity denials. * Experimental/Investigational denials. * Bundled/Inclusive denials. * Low Reimbursed out-of-network payments. * Denials for lack of documentation or service not supported by records. Our expert speaker Thomas Force will share his vast experience in handling denials and drafting appeal letters as an attorney and owner of a medical billing company. > Who Should Attend Revenue cycle managers and staff, Healthcare facility and practice owners and managers, attorneys and billing companies. 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 techniques,... Read more WE ALSO RECOMMEND DATE CONFERENCES DURATION SPEAKER PRICE REGISTER Jun 09, 2022 Learn what you (as a Practice, Provider or Facility) need to comply immediately to Stay compliant with NSA 60 Mins Thomas J. Force, Esq. $199.00 Register Jun 06, 2022 The No Surprises Act 2022: New Rules, The IDR Process and It's Impact on Out-of-Network Providers 180 Mins Thomas J. Force, Esq. $399.00 Register Jan 19, 2022 Federal No Surprises Act Boot Camp 120 Mins Thomas J. Force, Esq. $399.00 Register Jan 05, 2022 The New Federal No Surprise Act : Part I & II 120 Mins Thomas J. Force, Esq. $399.00 Register Nov 04, 2021 Federal No Surprises Act – The IDR Process, Good Faith Estimates, and What Providers Need to Know 60 Mins Thomas J. Force, Esq. $199.00 Register Oct 21, 2021 Summary Plan Description for In and OON Providers: How to Read, Analyze & Interpret an SPD 60 Mins Thomas J. Force, Esq. $199.00 Register Jun 24, 2021 An Effective Out-of-Network Workflow to Increase Reimbursement and Stay Compliant 60 Mins Thomas J. Force, Esq. $199.00 Register Subscribe THE WEBINARHUB The Webinar Hub is an online training platform that provides most affordable and updated information, knowledge, updates, regulations to professionals across industries. QUICK LINKS * Home * About Us * Contact Us * Packages QUICK LINKS * Refunds and Cancellations * Fulfillment & Delivery Policy * Privacy Policy * FAQs QUICK LINKS * Terms & Conditions * Custom Trainings * Join our Mailing List * Our Speakers © 2022, The Webinar Hub | All Rights Reserved.