EVERY MEDICAL OFFICE SUFFERS DENIALS

Too many offices believe the myth that the carrier can require pre-authorization on everything.    Most of the time, the patient's policy will have a pre-auth requirement on only one or two specific things.   The one hour webinar will show you what the law says about it.

The timely filing period on the claims you file is NOT what you think it is or what the carrier may make you think it is.   This includes not only commercial claims but also the Medicare Part C Advantage claims.    This webinar will go into detail and show what the law says the timely filing periods are

Are you aware there are laws that apply to all commercial and Medicare Advantage claims and how long they have to make a decision to pay?  It's not as long as you may think.   The webinar explains how long they have to pay before they can be penalized.

We discuss what it means when you accept assignment on claims and what it does not include.  You might be surprised.

Yes, they might be lying about the timely filing periods or the appeal periods or whether they have a legal right to deny the claim or the right to recoup on the claim.   This one hour webinar gets into detail to help you identify when they are lying.

Yes, Title 29, Section 1140 and 1141 of the Code of Federal Regulations state it is a civil and criminal act for them to lie to you to keep from paying a claim they are required to pay.   We go into detail about this law in this webinar.

At times, you may find that your income from Part C plans is higher when you're out of network than the amount you've received while you were in-network. 

First, you need to understand what a retroactive denial is and how to stop the commercial carrier from recouping when they demand a refund.   You probably do NOT owe them a penny on it and you can stop them.  If they have already recouped on the claim, you might be surprised how easy it is to get them to reverse it and return that money back to your clinic, which is something we discuss in the webinar  

NO, the PPACA laws of 2010 extend ERISA to all PPACA covered plans, so your patients that bought a plan on the Obamacare Marketplace are still going to be protected by the federal ERISA laws. 

We'll discuss in this webinar the easy way to handle these.  You probably do not have to comply with these (mostly) illegal requests you get every week and we'll tell you how you should respond.

You might not be aware of what the states and Federal courts have said about this and how you can still get the carrier to pay you - even though they've already paid the money to the patient (who used it for a new boat, car or vacation_.   

We will show you in this webinar,  the federal regulations that says what they have to cover and you might be surprised how easy it is to get them to cover more than you think.