1. Pre-Authorization Requests: Guidelines & Requirements, How To Resolve Denials Effectively
Do you spend a significant amount of energy and resources on addressing pre—authorization requests?
This not only drives up the administrative costs for healthcare providers like yours, but also results in having less time to treat your patients. Why only you providers? This is a pain point for patients, and payers as well. A large part of claim denials occur due to the lack of up—front clarity about the guidelines and requirements — and can be avoided easily.
Join this webinar, presented by our Billing Expert & Speaker and understand how you can obtain the necessary pre—authorization information on the first visit of patient itself, while ensuring they have the best chance of being successful. Speaker will share the know—how that you can use to streamline your internal processes. Speaker will guide you about what exactly payers are looking for, how to identify areas of risk within the practice, how to appeal a denied authorization — and what information to send to get it overturned. You will learn how to create workflows to manage your office, your patients and your time more efficiently, and how to utilize live representatives, online portals, and forms to your advantage.
Speaker will also guide you to work through your pre—authorization requests and improve your chances of success. This session will help you to learn how to work with payers across different avenues, discover the pros and cons of each form of contact, and understand how to organize your information systematically.
The objective and outcome of this webinar is to make you trained, so you request proper authorizations, appeal denied authorizations correctly, improve patient satisfaction, and manage your time and your work more efficiently.
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2. How To Draft An Effective Appeal Letter
Many providers including physician practices regularly suffer from claims denials due to coding issues or lack of medical necessity. Whether you’re an in—network or out—of—network provider, there is something you can do to recoup.
Register for this pre—recorded webinar presented by our Healthcare Law and Regulatory Expert and learn to draft an appeal letter that will get results. The key, of course, is to understand why your claim was denied in the first place, so you can provide the necessary evidence to demonstrate your right to payment. Our speaker, who is an attorney is fully equipped to deliver several real—world methods that do (and don’t) work to recapture payment after an initial denial. He’ll guide you on how to interpret plan terms and provide Explanations of Benefits documents.
This webinar is designed to help you understand why a claim was denied and then collect and submit the documentation required to make a successful appeal. The speaker will explain how and when to make a second appeal, if necessary—and how to appeal not just no—pay claims but low—pay claims as well.
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Stephanie has worked in the medical, billing and coding industry for nearly 20 years. It is truly her passion. Stephanie works closely with small and large private practices to audit and collaboratively improve their revenue stream. She prides herself in her dedication to her clients and has built a team of incredible billers and coders to support her mission of assisting practices and Physicians across the country with proper coding and aggressive billing practices while being compliant. Stephanie also has extensive knowledge in physician practice processes, front desk, back office, and clinical. This knowledge allows her to be an invaluable asset for all things clinical operations,...
Read MoreDate | Conferences | Duration | Price | |
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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 | |
Nov 04, 2021 | Federal No Surprises Act – The IDR Process, Good Faith Estimates, and What Providers Need to Know | 60 Mins | $199.00 |