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