“A primary goal of The Health Insurance Appeals Guide and this webinar is to empower individuals to better understand their rights to file a health insurance appeal”, notes Mary Covington, President, Denials Management and co-author.
ANNAPOLIS, Md. (PRWEB) November 23, 2020
Several leading health insurance experts will be providing guidance on how to navigate the health insurance appeals process after a denial of care during a complimentary webinar scheduled for December 10, 2020 at 2:00 p.m. ET. To register for the webinar click here.
The webinar builds upon The Health Insurance Appeals Guide which was published by Denials Management to inform consumers and treating providers on the key steps when filing appeals claims associated with mental health and substance use disorder (MH/SUD) treatment services. Complimentary copies of the Guide can be downloaded here.
Over the last several decades, many federal and state laws have been adopted to protect consumers and providers when a health insurer denies a request for coverage or does not reimburse for care. Unfortunately, hundreds of different pathways exist when filing an appeal depending on what type of health insurance coverage is involved, where the patient lives, the type of adverse benefit determination, the timing of the denial, and the level of appeal.
Given all of this complexity, the webinar will highlight many of the key touchpoints to successfully file a health insurance appeal. The session will feature tips from experts who have decades of experience helping consumers and providers reverse insurance denials.
The December 10th webinar will be moderated by Garry Carneal, JD, MA, President & CEO, Schooner Strategies, and will feature two nationally-recognized speakers:
-Mary Covington, President, Denials Management
-Brian S. King, JD, Founder, Brian S. King, PC.
“A primary goal of The Health Insurance Appeals Guide and this webinar is to empower individuals to better understand their rights to file a health insurance appeal”, notes Mary Covington, President, Denials Management and co-author. “Whether the individual is a patient, provider, family member, caregiver, or advocate, our shared health care goal is to get the right care to the right patient at the right time. Unfortunately, this is easier said than done.” Ms. Covington and her advocacy firm have helped hundreds of patients and providers reverse denials to ensure patients are getting the care they need.
“After the appeals process is exhausted, patients and providers often only have one choice and that is to sue the health plan, third party administrator or self-funded employer plan sponsor to ensure inappropriate denials are not upheld,” remarks Brian S King, Founder, Brian S. King, PC. “Over the years, the courts have begun to recognize the need to allow plaintiffs to have their day in court to protect against unlawful parity violations.” Mr. King is a national expert in this type of litigation, including challenging health plans regarding mental health parity violations pursuant to The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 also known as MHPAEA.
About Denials Management, Inc. –http://www.fixmyclaim.com
Facing medical, behavioral health, or substance abuse issues can be emotionally challenging and financially stressful for families. Similarly, the Denials Management advocacy team understands that providers must focus on the treatment of their patients rather than navigating through complicated utilization review, claims, and appeal processes. Since 1990, Denials Management has been partnering with families and providers to assist in resolving the specific insurance problems they are facing. Our experienced medical insurance advocates offer a variety of services, such as claims management, fighting insurance denials, and much more.
About Brian S. King, PC – http://www.erisa-claims.com
Brian S. King has established a reputation of protecting and upholding the rights of consumers and health care providers dealing with denied medical, disability and life insurance claims. The firm specializes in helping individuals navigate through the confusing and frequently hostile insurance claims process and also assists medical providers to appeal and litigate wrongful medical claim denials. The law firm’s advocacy work helps stem the tide of bad faith insurance practices, which are now more endemic than ever before. Brian S. King, PC helps their clients get the benefits and compensation promised to them.
About Schooner Strategies – http://www.schoonerstrategies.com
Schooner Strategies is a leading force in healthcare policy development, accreditation programs, government relations support, operational management, and business development, benefiting dozens of clients since 2007. Schooner arms clients with the tools, resources and industry knowledge to optimize their business mission and goals. Schooner provides the ideas, strategies and tactics to conduct original research, gather vital industry-specific data and acquire important market intelligence and trends information. Schooner also can help clients manage and staff their organizations. The consulting firm is located in downtown historic Annapolis, Maryland.