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MUEs: Overcome Unfair Denials with These Proven Appeals Strategies
Presented by Jillian Harrington, MHA, CPC, CPC-P, CPC-I, CCS-P, 1 AAPC CEU Approved
This conference originally aired on: 05/13/2009
LIVE WEBINAR

If you don't know how to navigate CMS's Medically Unlikely Edits, you're unlikely to get deserved payments.

If you're like most providers, CMS' Medically Unlikely Edits (MUEs) probably make you want to pull your hair out at times -- especially because what CMS considers an MUE is actually an appropriate service. Instead of giving up or giving in, you need to arm yourself with MUE appeals strategies that actually work. Join our expert speaker, Jillian Harrington, for this informative 1-hour audio and video session to find out best practices for including these edits in your billing system and appealing MUE-based denials.

Here's what you will learn:

  • The scoop on the most recent release of edits and how to understand the files.
  • Practical tips on how to include these types of edits in your billing system.
  • Proven strategies to fight MUE-based denials -- and win back the reimbursement you earned.
  • Become an expert on the appeals process and procedures based on these edits.
  • Gain a better understanding of the MUE program itself, so you can enhance your review and appeals tactics.
  • Why your claims for appropriate services are being denied based on an MUE -- and how to appeal the denial successfully.

Still confused about MUEs? Don't worry -- you can ask the speaker your toughest questions during the interactive Q&A.

Who should attend? Patient financial services, CFOs, billing staff, coders/coding staff, and HIM directors.

Your registration includes:

  • Flexible enrollment. Scheduling conflict? No problem. This session is also available on CD.
  • Expert answers to your tough questions during the interactive Q&A period.
  • Complimentary attendee package, including the speaker's complete presentation handouts. Keep this quick reference tool close by for future use.
  • One low price for all the staff you can stuff into a conference room.

Order Below or Call 866-458-2965 Today

Ms. Harrington serves as President & CEO of ComplyCode, a health care compliance consulting firm based in Binghamton, NY, and has more than 16 years of experience in the health care profession. She is the former chief compliance officer and chief privacy official of a large academic medical center, and also has extensive background in both the professional and technical components of CPT/HCPCS and ICD-9-CM coding.  She has spoken frequently on health care compliance and health information management issues at regional and national professional conferences.

Ms. Harrington holds a bachelor's degree in health care administration from Empire State College and a master's degree in health systems administration from the Rochester Institute of Technology.

 

"Speaker was excellent, kept on point and stuck to the slides."
- Marianne Whitman 

"The content was useful and the semiar moved along a good pace"
- Ann Amato

"No travel involved. Able to fit in normal routine and still have opportunity to learn."
- Marie Carter,RN

"educational, the different questions and feedback from around the country."
- Maria Gloria Cabarrus

"Learning about new edits and how best to appeal."
- Pam Cowart

"Good review of causes and actions to prevent/deal with"
- sharon iversen

"Ability to listen to the program on my own schedule during the scheduled day! Great way to manage my time....."
- Anne-Marie Eugley

"Straightforward content, speaker was not monotone and kept the presentation moving along."
- Matthew Hale

 

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MUEs: Overcome Unfair Denials with These Proven Appeals Strategies 
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