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Two Appeals Are Better Than One: Helping
Patients Submit Appeals
Objective: Patients typically seek guidance
from providers on resolving insurance issues. Some are motivated
and ready to appeal. Some are confused. Some are angry. Your response will have a dramatic
impact on patient appeal success and their understanding of both the denial and their rights.
However, your lack of response may leave them feeling alone and unable to tackle this new challenge.
This 90-minute audio conference will cover patient advocacy appeal steps designed to create a partnership
between patient and provider through the appeal process. .
Dates: Oct 13, 2011
Click here for more information or to signup to
participate
25 Appeal Letters And Using PPACA For Today's Appeals
Objective: Presentation and Review of
25 Medical Appeal Letters which are designed to easily appeal most common
denials and demand a detailed, PPACA-compliant response from insurers regarding
nonpayment. Letter collection has been updated to include many ERISA and
PPACA (Patient Protections and Affordable Care Act) protections. Proven Strategies for Level II appeal
customizations, denial prevention and what to do when appeal efforts fail will
also be discussed.
Dates: CD Recording is available
Click here for more information or to signup to
participate
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: CD Recording is available
Click here for more information or to signup to
participate
5 Sentences to Improve Your Medical Appeals
Objective: Can five sentences
really mean the difference between appeal success and failure?
Speaker Tammy Tipton will explain the importance of each of the five
sentences and describe what laws can actually force carriers to be more
responsive to each sentence.
Date: 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: CD Recording is available
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: CD Recording is available
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: CD Recording is available
Click here for more information or to signup to participate
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