2020

• 1/21/20
  • The Balance Bill Requirement for Out-of-Network Providers: Why Out-of-Network Providers Must Balance Bill their Patients
  • An Effective Out-of-Network Workflow to Increase Reimbursement and Stay Compliant
  • Holding Health Insurers Accountable: An Inside Look at Revenue Recovery, Effective Appeals, and Denial Management
• 2/5/20
  • Drafting Effective Appeals and Defense of Recoupments for the Maine Osteopathic Association
• 4/29/20
  • How to Read, Analyze, and Interpret a Summary Plan Description and Why the SPD is Important to Out-of-Network Providers
• 4/30/20
  • How to Defend Against Insurance Company Recoupments, Repayment Demands and SIU Audits

2019

• 2/7/19
  • How to Draft an Effective Appeal Letter
• 10/9/19
  • How to Defend Against Insurance Company Recoupments, Repayment Demands and SIV Audits
• 12/3/19, 11/21/19
  • The Balance Bill Requirement for Out-of-Network Providers: Why Out-of-Network Providers Must Balance Bill their Patients
  • An Effective Out-of-Network Workflow to Increase Reimbursement and Stay Compliant
  • Holding Health Insurers Accountable: An Inside Look at Revenue Recovery, Effective Appeals, and Denial Management

2018

• 1/31/18
  • Strategies and Tips for Out-of-Network Revenue Recovery
• 4/2/18
  • Tips for Out-of-Network Revenue Recovery
• 4/19/18
  • How to Increase the Revenue of an Out-of-Network Practice
• 7/9/18
  • Insurance Coverage for Pier Surgery – Microtia for Earicles Microtia Atresia Conference in Chicago, IL
• 7/31/18
  • The Balance Bill Requirement for Out-of-Network Providers: Why Out-of-Network Providers Must Balance Bill their Patients
  • An Effective Out-of-Network Workflow to Increase Reimbursement and Stay Compliant
  • Holding Health Insurers Accountable: An Inside Look at Revenue Recovery, Effective Appeals, and Denial Management
• 9/13/18
  • How to Read, Analyze, and Interpret a Summary Plan Description and Why the SPD is Important to Out-of-Network Providers
• 11/1/18
  • The Out-of-Network Workflow: Perspectives from an ERISA Attorney and Certified Coder

2017

• 1/12/17
  • Nuts and Bolts of Out-of-Network Revenue Recovery
• 3/6/17
  • Analysis of Cigna and Aetna Cases – Humble Surgical Hospital
• 5/11/17
  • Updates on Fraud Investigations Against Healthcare Providers
• 11/28/17
  • The Nuts and Bolts of Being an Out-of-Network Medical Practice in the 21st Century for the Advanced Orthopedics Sports Medicine (Arizona)

2016

• 1/26/16
  • How to Succeed in the New Out-of-Network Arena for the Woman’s Surgical Association
• 8/3/16
  • Analysis of Cigna and Aetna Cases – Humble Surgical Hospital
• 8/15/16
  • How to Defend Against Recoupments, Repayment Demands + SIV Audits for the Medical Auditing Training + Medical Compliance Association (NAMAS)
• 12/1/16
  • How to Defend Against Insurance Company Recoupments, Repayment Demands and SIU Audits
• 11/14/16
  • Nuts and Bolts of Out-of-Network Revenue Recovery
• 10/27/16, 11/29/16
  • Update on Federal Litigation Affecting Out-of-Network Providers

2015

• 1/7/15
  • New ERISA Protections for Laboratories and Pathology Groups: How to Defend Against Recoupments, Repayment Demands, and SIU Audits
• 1/13/15
  • Everything the Out-of-Network Providers Needs to Know
• 2/24/15
  • Lessons Learned from Recent Health Plan Federal Lawsuits Against Out-of-Network Healthcare Providers Based Upon Fee Forgiveness and Other Relevant Litigation for New Jersey Chiropractors Association
• 3/27/15
  • Federal Prompt Pay and Recoupments for the HFMA Metropolitan Chapter
• 5/1/15
  • Everything You need to Know About ERISA-Regulated Health Plans for the Medical Society of New Jersey at the Annual Physician’s Conference
• 4/9/15
  • Recent Development in the Area of ERISA: What the Health Plans Don’t Want You to Know
• 8/11/15
  • Recoupments for Unsupported Services and Failure to Balance Bill Out-of-Network Patients Your Best Defense

2014

• 5/5/14
  • Balance Billing for Out-of-Network Providers

2013

• 4/4/13
  • Update and Developments in the Area of Out-of-Network Claims for the American Medical Association / Federal Steering Committee and Workgroups
• 11/7/13
  • The Balance Bill Dilemma – Out-of-Network Provider Beware
• 12/10/13
  • Disgorgement for Denial of ERISA Benefits
• 12/10/13
  • How to Defend Against a Take-Back Demand or Refund Request from a Commercial Insurer

2012

• 2/10/12
  • Effective Strategies in Revenue Recovery for the Healthcare Finance Management Association