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Billing Provider Checklist

Educational Seminars and Webinars

As a part of our commitment to helping our clients, we regularly hold webinars and seminars to educate on client billing workflows. Some examples of past webinar and seminar topics include:

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
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