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Join us for an enlightening webinar by renowned healthcare attorney Thomas J. Force, Esq., as he delves into the intricacies of a successful out-of-network workflow. This program is tailored to equip healthcare providers with the essential components to not only increase reimbursement but also maintain compliance and effectively counter insurer/payor audits and refund demands.
Thomas J. Force, Esq. will guide participants through the crucial elements of an out-of-network workflow, emphasizing strategies to handle eligibility, benefit verification, charge analysis, and navigating the challenges of low payments and denied appeals. The discussion will extend to encompass patient cost-sharing dynamics and effective responses to payor audits and recoupment attempts.
In a comprehensive exploration, the webinar will address fee forgiveness and balance billing, providing clear steps to sidestep payor fee forgiveness audits. Attendees will receive step-by-step instructions on crafting a compliant financial hardship policy, implementing prompt payment protocols, and establishing a professional courtesy policy.
Additionally, Thomas J. Force, Esq. will shed light on ERISA claims guidelines and dissect state prompt payment laws, offering a thorough understanding of legal frameworks governing out-of-network workflows. Don't miss this opportunity to gain actionable insights and fortify your approach to out-of-network challenges in the healthcare landscape.
Out-of-Network (OON) providers often encounter hurdles in securing optimal payments for their claims, compounded by insurers directing payments to patients. The lack of awareness regarding distinct patient forms and disclosures required for OON patients further complicates matters. Additionally, the implications of the Federal No Surprise Act on OON practices remain unclear.
This webinar aims to address the pain points faced by OON providers, offering clarity on the intricacies of patient forms, disclosures, and the potential impact of the Federal No Surprise Act. Attendees will gain invaluable insights into handling the frequent audits initiated by payors, providing them with the knowledge to navigate and defend against refund attempts effectively.
By the end of this presentation, participants will be equipped with practical answers and a deeper understanding of the complex healthcare landscape, empowering OON providers to overcome challenges and optimize their reimbursement strategies.
Who Should Attend
|Nov 02, 2023||Waving Patient Balances: What every Healthcare Provider needs to know!||75 Mins||$199.00|
|Jun 28, 2023||Litigating and Enforcement Actions Against Providers||60 Mins||$199.00|
|Mar 02, 2023||Litigating Against the Out-of-Network Health Plan – Cases Informing the Providers’ Perspective in 2021 and 2022||60 Mins||$199.00|
|Aug 31, 2022||Drafting Effective Appeals and Defense of Recoupments||60 Mins||$199.00|
|Jun 09, 2022||No Surprises Act – What You Need to Know About This? How it Affects You as a Practice?||60 Mins||$199.00|
|Nov 04, 2021||Federal No Surprises Act – The IDR Process, Good Faith Estimates, and What Providers Need to Know||60 Mins||$199.00|
|Jun 24, 2021||An Effective Out-of-Network Workflow to Increase Reimbursement and Stay Compliant||60 Mins||$199.00|