Join this information-packed webinar with, out of network veteran attorney Thomas J. Force, J.D., Esq. to learn about eligibility, charge analysis and understanding the Summary Plan Description and its terms. During the webinar Mr. Force will discuss on low-payments and denial resolutions. The webinar will also address the application of ERISA, ERISA requirements and what happens when ERISA demands are not met. The attendees will learn about the appeals process and patient collections. Thomas will also discuss the different strategies for In-Network v. Out-of-Network claims.
The Attendees will learn the effective techniques for Balance Billing. They will learn about the Federal Prompt Payment requirements. The Webinar will discuss what a recoupment and audit is, the reasons that insurance companies give as the basis for the overpayment demands 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.
Mr. Force will go through what should be done when a provider receives an audit or overpayment demand, how to object, appeal, hire an expert and make document requests. He will also address the state insurance laws regarding time frames to request recoupments.
The Attendees will also be informed of the best practices to reduce the risk of fraud allegations.
This program will teach you how to:
Who Should Attend
Out of network healthcare providers/revenue cycle managers/practice owners and managers who are now struggling to recover profits for their facilities and medical practices; billing company staff and healthcare attorneys. Hospitals, out-of-network ASC’s, practices, surgery centers. And medical associations and societies.
|Oct 21, 2021||Summary Plan Description for In and OON Providers: How to Read, Analyze & Interpret an SPD||60 Mins||$199.00|
|Jun 01, 2021||How to Draft Appeal Letters & To Resolve Denials Effectively 2021 Updates||120 Mins||$349.00|
|Apr 14, 2021||The Successful Clinical Appeal – A Guide for the reconsideration and Appeal of Medical Necessity Denials||60 Mins||$199.00|
|Mar 23, 2021||The New Federal No Surprise Act – Impact on Out-of-Network Providers||60 Mins||$199.00|
|Dec 09, 2020||How to Defend Against Insurance Company Recoupments, Repayment Demands, and SIU Audits||60 Mins||$199.00|
|Dec 03, 2020||How To Draft An Effective Appeal Letter||60 Mins||$199.00|
|Dec 01, 2020||Lessons Learned from the Cigna and Aetna Cases Against Humble Surgical Hospital||60 Mins||$199.00|