Insurance Claim Appeals

Length: 80 minutes
Product ID: 385352EAU

 
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OnDemand Webinar:$199.00$119.40Register Now
TeleconferenceCredit
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Benefits

Many medical providers today are struggling at the number of claim denials and appeals that have to be performed to attempt to gain reimbursement from health care insurance providers, including Medicare and Medicaid.

This OnDemand Webinar will help you understand how first to establish when an appeal can be implemented, when to formally continue to disagree with their findings in writing and what options are available to continue fighting these appeals. The program will explain the methods and options required to obtain the money your practice deserves.


Agenda

Appeals: What You Need to Know

  • Time Frame to Appeal Unpaid Claims
  • Documentation Requirements to Appeal Unpaid Claims
  • The Secret to Winning Appeals

Medicare and Recovery Audit Contractor Audit Appeals

  • Similarities in Traditional Medicare Appeals vs. Recovery Audit Contractor Audit Appeals
  • Differences in Traditional Medicare Appeals vs. Recovery Audit Contractor Audit Appeals
  • Repercussions If the Provider Does Not Win an Appeal

Third-Party Insurance Carrier Claim Appeals

  • Where to Appeal the Claims
  • Appeal Multiple Claims at the Same Time
  • State Insurance Commissioner Options
Faculty

Carol Coots, B.S., CPC, CPC-H, Medical Consulting From A to Z, LLC

Carol Coots, B.S., CPC, CPC-H
• Owner of Medical Consulting From A to Z, LLC
• Practice emphasizes coding, billing, denial appeals, proactive audits and representation in a reactive audit demanding money be returned, and Six Sigma Lean Management cost savings analysis
• Conducts seminars and training on Medicare recovery audit contractors, coding and anatomy overviews
• Author of fifth digits on national ICD-9 diagnosis codes for lower extremity ulcers and supplied all documentation that lead the National Center for Health Care Statistics to add the fifth digits to the ulcer codes for vascular health management
• B.S. degree in biology, and AAPC certifications including CPC and CPC-H
• Member of the American Academy of Professional Coders and the American Health Information Management Association
• Can be reached at 317-450-7691 or medicalconsultingfromatoz@yahoo.com, or visit our website at www.atozmedicalaudits.com