How to Negotiate with Payers on Out of Network Claims

Event Information
Product Format
Live Webinar
Conference Date
Add to my calendar   Thu, Feb 21, 2019
Aired Time
1 pm ET | 12 pm CT | 11 am MT | 10 am PT
60 minutes
Product Description

Learn How to Negotiate Better with Payers on Out Of Network Claims to Maximize Reimbursements

As a healthcare services provider, getting paid on Out of Network claims (OON) is one of the bigger challenges you face. And if the regular roadblocks were already not enough, the payers are now continually pushing to constrain OON reimbursement rates. To provide quality care, you need to improve the bottom line, which can only be achieved by maximizing reimbursements and minimizing denials.

Take a deep dive into how payers typically handle OON claims in this informative webinar by industry expert Stephanie Thomas. She will discuss how to avoid costly denials on OON claims; the verbiage to use for successful OON conversations; the best negotiation practices with a payer for higher reimbursement for OON bills; working with a payer without a contract, and more.

After attending this webinar, you will have a better understanding of processing and how it differs from when you are in network with a payer. You will know how to avoid low reimbursements and potentially harmful extended agreements. You will be able to confidently negotiate with OON payers, and understand where you can insert potential helpful information to maximize reimbursement.

Session Highlights

The session will cover the following topics:

  • How to avoid costly denials
  • Verbiage for successful OON conversations
  • Can you bill a patient when your practice is OON
  • How can you work with a payer without a contract
  • Can you negotiate with a payer for higher reimbursement when OON
  • How keeping a proactive approach with out of network payers and claims helps

Who Should Attend

  • Billers
  • Coders
  • Office managers
  • Administrators
  • Billing managers
  • Billing directors
  • CFOs

Following the live presentation, the instructor will conduct a Q&A period during which you may ask questions and solicit solutions for your unique situation.

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About Our Speaker

Stephanie Thomas

Stephanie Thomas is the Billing Director for CE Medical Group, a third party billing and consulting firm. Stephanie has been in the medical field for nearly 20 years. Her experience includes private practice administration, medical billing for several specialties, practice management consulting for numerous physicians and ASC’s across the nation.

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