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
- Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS
- Sue Dill Calloway, RN, MSN, JD
- Jeanne J. Chamberlin ,
- Melody S. Irvine, CPC, CPMA, CEMC, CFPC, CPB, CPC-I, CCS-P
- Donald Romano,
- Rick Hindmand and Gerard Nussbaum, Esq.
Thomas J. Force, Esq. is a licensed attorney since 1994 in both state and federal courts in New Jersey and New York, with 27 years of experience in the healthcare and insurance industries. He is the president and founder of The Patriot Group, a full-service healthcare physician advocacy and revenue recovery company providing billing, appeals, collections and follow-up services for healthcare. Thomas is also the former CEO, general...
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