Many denials are not valid … and providers have the right to challenge them.
Durham, NC (PRWEB) September 06, 2017
AudioEducator, a division of audio conference and corporate education leader ProEdTech, will host the live webinar “Medicare Appeals: Collect What Your Practice Really Deserves” with veteran healthcare consultant Barbara J. Cobuzzi, MBA, CPC, CENTC, COC, CPC-P, CPC-I, CPCO, AAPC Fellow, on Tuesday, October 17, 2017 at 1:00 pm ET. This session will address how providers can navigate Medicare and other payers’ appeals processes in order to secure their practice’s rightful reimbursement.
Spending time and resources to appeal denied claims can be taxing for a physician practice. However, appeals can not only help a practice recoup money, but can also divert auditors from honing in on problematic claims. For an auditor, if a practice is unable to show that it’s made an effort to appeal denied claims, it appears as though physicians and their staff are not aware of potential compliance issues.
In fact, many denials are not valid. Whether they’re due to a simple typo on a claim or a payer’s oversight, providers have the right to challenge their carrier or intermediary’s determination and argue their case. Recouping denied payments can be quite simple – if the details of the appeals process are understood.
In this session, expert speaker Barbara J. Cobuzzi, MBA, CPC, CENTC, COC, CPC-P, CPC-I, CPCO, AAPC Fellow, will address each step of a proven, effective method for securing a practice or facility’s rightful reimbursements.
The session will help coders and billers, billing and practice managers, physicians, clinical and front desk staff, surgical schedulers, and anyone involved in the revenue cycle:
- Gain a fresh perspective on coding versus reimbursement
- Review the elements that affect reimbursement
- Understand how the appeals process works and get tips for filing winning appeals
- Learn how payers find opportunities for underpayment or denial of services
- Target areas with the biggest appeal opportunities
- Tailor appeals based on who’s paying – Medicare vs. private payers
- Learn how to use payer appeal forms effectively
- Find out about common compliance issues for all denial types
- Study state and federal claim processing laws
- Understand the difference between provider and patient appeals
- Know what to do when an appeal is not successful
- Identify five formal appeal steps
- Review redetermination and reconsideration by QIC
- Appeal a dismissal and understand dismissal options
For more information and to register, visit: https://www.audioeducator.com/medical-coding-billing/appeal-process-for-denied-payments.html.
Get $30 off on our conferences and webinars. Use Code PRWEB30 on checkout (applicable for all purchases).
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