Under-reimbursement, claim denials, and failed appeals letters have impacted several practices. You can reduce denials, manage appeals and recover lost revenue if you create a new and effective Out-of-Network workflow. This webinar will help you on creating an effective workflow to prevent losses and resolve your out-of-network revenue challenges. Dr. Dreama will go through what should be done when a provider receives an audit or overpayment demand, and how to object, appeal, hire an expert and make document requests. She will also address the state insurance laws regarding time frames to request recoupment. The Attendees will also be informed of the best practices to reduce the risk of fraud allegations.
Learn about eligibility, charge analysis, summary Plan description(SPD), and insurance benefits verification investigation
Learn effective techniques for Balance Billing
Know Federal Prompt Payment requirements
Learn the application of ERISA, ERISA requirements, and what happens when ERISA demands are not met
Strategies for In-Network vs. Out-of-Network claims
Areas Covered in the Session:-
Combat decreasing out-of-network revenue
Design and execute a successful appeal
Work within regulations that limit out-of-network revenue and caps on reimbursement
Create a workflow to enhance out-of-network revenue
Develop compliance tools to keep your practice/facility compliant and safe
Live Q&A Session
Who Should Attend:-
HIPAA Privacy and Security officers.
Telemedicine System Vendors
Patient Accounts Personnel
Medical record supervisors
Health Information Management Administrators and Technicians
Other Personnel Interested in Billing Privileges with the Medicare Program
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