Out-of-network revenue is down 25 to 50 percent across the board in the United States – as plans transform from UCR to Medicare-based, and audits by insurers intensify. For the out-of-network provider who wants to survive in these difficult times, this session by industry veteran Thomas J. Force is a must-attend event.
With this session, you will have an opportunity to evaluate your out-of-network revenue recovery workflow. Force will take you through a proper and effective workflow beginning at patient contact with the practice, through eligibility, bill submission, payment or denial, effective appeal techniques, collection of patient cost share, and exhaustion of administration remedies. You will get concrete examples and steps to strengthen your workflow, and additional remedies to recover enhanced revenue.
You will learn winning strategies to help your out-of-network practice establish proper and effective workflow to enhance revenue – all while remaining compliant and safe. You will also be able to perform proper eligibility and effectively appeal low reimbursed claims, ultimately increasing revenue for your out-of-network practice.
This session will cover:
Who Should Attend
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
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 counsel and...
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