50 Appeal Letters And How To Use Them Like A Pro
Objective: Presentation and
Review of 50 Level I and Level II Appeal Letters which are designed to easily appeal
all denials and demand a detailed response from insurers regarding
nonpayment. Proven Strategies for Level II appeal customizations,
denial prevention and what to do when appeal efforts fail will also be
discussed.
Date: March 4th, 2008
Click here for more information or to signup to
participate
Using California Laws to Appeal Denials and Obtain Quality
Appeal Reviews
Objective: California has passed a number of managed care
and insurance laws to assure medical providers fair claims processing and
appeal review. However, these protections may be ignored by the insurance
carriers if not cited in your appeal letters. Appeal Solutions has prepared 20
California specific appeal letters that cite your state’s claim processing and
appeal review regulations. These letters are designed to assist you hold the
insurance carriers to rigorous review and appeal response standards
Date: December 11, 2007
Click here for more information or to signup to participate
Using ERISA Law in Appeals and Contract Renegotiation
Objective: ERISA claim processing regulations and disclosure requirements can be utilized at several key phases
of the revenue cycle. Knowledge of ERISA assists admission and precertification staff with obtaining
accurate, timely insurance verification and claim approval. Further, tracking carrier noncompliance
with ERISA regulations can improve collections and enhance success on appeals.
Attendees will gain knowledge on federal claim
processing guidelines, what type of claims fall under the guidelines and what to do when noncompliance is detected. This information will assist with
reaching both collection goals and enhance denial management. Sample appeal letters will be distributed as well as a compliance tracking tool to allow
better assessment of carrier compliance with ERISA.
Date: October 2, 2007 -
a CD Recording is available
Click here for more information or to signup to participate
Medical Necessity Appeals and Demanding a Quality Review by the Payer
Objective: Medical billing professionals send detailed, persuasive appeal letters ever day.
Despite these well-written efforts, many appeal letters result in
"Denial Upheld." In this audio conference, presenter Tammy Tipton will
discuss how to assess appeal responses for signs of a poor quality
review. Strategies for demanding peer review, peer discussion, expert
review and complete clinical disclosure will be explained. Level II
medical necessity appeal customizations will be demonstrated so that
none of your higher level appeals are rejected due to "no new
information."
Date: March 27, 2007 - a CD Recording is available
Click here for more information or to signup to
participate
