Almost every healthcare provider has received a letter from a commercial insurer seeking refunds from previously paid claims. Some of these letters originate from Special Investigation Units. Regardless of whether you are in or out of network, it is imperative for the provider to understand how to respond to these demands. An insufficient response could result in a several thousand dollar recoupment as well as professional licensure suspension.
Sign up for this 60-minute session presented by expert speaker, Thomas J. Force and protect yourself from any penalties. You will get the checklist of items to include in response letters and also the references to state and federal statutes and case law.
Highlights of the session:
Who should attend?
Primarily health care providers, but also billing and accounting staff, hospital administrative personnel and healthcare attorneys
- Mary Falbo, MBA, CPC
- John Banja, PhD
- Caral Edelberg CPC, CPMA, CAC, CCS-P, CHC and Jodi Remick CPC,
- Marsha S. Diamond, CPC, CPC-H, CCS
- Barbara J. Cobuzzi, MBA, CPC, COC , CPC-P, CPC-I , CPCO, CEN
- Andrew Eriksen,
Thomas Force, a licensed attorney, ERISA litigator and former US Marine, is a national expert of revenue strategies and appeals strategies. He has filed and settled literally thousands of healthcare claims, many through litigation.
Mr. Force is a frequent speaker of ERISA principles of revenue recovery and out of network claims. He is President and founder of The Patriot Group, a full service revenue recovery and... More Info
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