Medicare Appeals: Collect What Your Practice Really Deserves! 2017

Topics

• Review of the elements that affect reimbursement
• A fresh perspective on coding versus reimbursement
• Common payer opportunities for underpayment or denial of services
• Understanding how the appeals process works
• Appeals and correction (the micro level)
• The areas with the biggest appeal opportunities
• What goes wrong? From payers and providers perspective
• Medicare vs. private payers: Tailor your appeal based on who’s paying you
• Common compliance issue - All denial types
• How to use payer appeal forms effectively
• Provider vs. patient appeals
• State and Federal claim processing laws
• Identify five formal appeal steps
• What to do when an appeal is not successful
• Appealing a dismissal: Review of dismissal options
• Overview on redetermination, reconsideration by QIC, and more
• Tips for Filing an Appeal

Who should Attend

• Billers
• Billing managers
• Physicians
• Practice managers and administrators
• Front desk staff
• Other clinical staff
• Surgical schedulers
• Coders
• Anyone involved in the revenue cycle