Attendees will learn about effective techniques to get denials reversed and under-reimbursed out-of-network claims reprocessed at higher reimbursement rates.  Attendees will receive instructions on how to draft an effective appeal including documents to enclose to ensure the appeal is processed and not rejected. 

Types of appeals/denials to be discussed include:

• Medical necessity denials.
• Experimental/Investigational denials.
• Bundled/Inclusive denials.
• Low Reimbursed out of network payments.
• Denials for lack of documentation or service not supported by records.

Speaker will share his vast experience in handling denials and drafting appeal letters as attorney and owner of a medical billing company.

Background:-

Out of network and In-Network healthcare providers are now struggling to recover profits for their facilities and medical practices.

Why Should You Attend?

Out of network and In-Network healthcare providers will learn techniques designed to get denials reversed and low-reimbursed out-of-network claims reprocessed at higher reimbursement rates. Attendees will learn techniques to effectively defend payor audits and refund demands.

Who Will Benefit?

Revenue cycle managers and staff, Healthcare facility and practice owners and managers, attorneys, and billing companies.