Out-of-Network (OON) Providers struggle to collect decent payments on their claims. Many insurers send checks to patients. OON providers do not understand that they need different patient forms and disclosures for their OON patients. They do not understand how the Federal No Surprise Act may impact their OON Practice. OON Providers are frequently audited by payors, and they don’t know how to handle or otherwise defend these refund attempts. This session will provide the audience with answers in this complex healthcare topic.
Webinar Agenda
The webinar will discuss the three components to a successful out of network workflow designed to increase reimbursement, keep the provider compliant and defend pesky insurer/payor audits and refund demands. The session will outline how an out of network provider should handle eligibility, verification of benefits, charge analysis, low payment and denied appeals, patient cost share and payor audits/recoupment attempts. A discussion of fee forgiveness and balance billing will give the audience clear-cut steps to take to avoid payor fee forgiveness audits. We will provide the audience with instructions on how to create a compliant financial hardship, prompt payment and professional courtesy policy. We will have a discussion about ERISA claims Guidelines and state prompt payment laws.
Webinar Highlights
Who Should Attend?
Revenue cycle staff, billing companies, healthcare attorneys, healthcare providers and healthcare compliance staff
Date | Conferences | Duration | Price | |
---|---|---|---|---|
Nov 30, -0001 | How to Draft Effective Appeal Letters & To Resolve Denials Effectively? | 120 Mins | $399.00 | |
Jun 16, 2020 | How to Defend Against Insurance Company Recoupments, Repayment Demands, and SIU Audits | 60 Mins | $199.00 | |
Aug 20, 2020 | Lessons Learned from the Cigna and Aetna cases against Humble Surgical Hospital | 60 Mins | $199.00 | |
Mar 23, 2021 | The New Federal No Surprise Act – Impact on Out-of-Network Providers | 60 Mins | $199.00 | |
Apr 14, 2021 | How to Draft Appeal Letters & To Resolve Denials Effectively 2021 Updates | 120 Mins | $399.00 | |
Apr 14, 2021 | The Successful Clinical Appeal – A Guide for the reconsideration and Appeal of Medical Necessity Denials | 60 Mins | $199.00 | |
Jun 24, 2021 | An Effective Out-of-Network Workflow to Increase Reimbursement and Stay Compliant | 60 Mins | $199.00 |