MUEs: Overcome Unfair Denials with These Proven Appeals Strategies

Event Information
Product Format
Prerecorded Event
Jillian Harrington, MHA, CPC, CPC-P, CPC-I, CCS-P
Conference Date
Wed, May 13, 2009
60 Minutes
Product Description

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

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About Our Speaker

Jillian Harrington - Hospital Health Management Expert

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...   More Info
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