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