Patients are increasingly seeking out-of-network (OON) services and this trend is expected to continue. As consumer demand drives out of network activity, insurance companies are coming up with OON benefits integrated in their policies.
Since OON reimbursement tends to be higher than in-network reimbursement, payers use different strategies to discourage it, including bill reduction tactics, limits on benefits policies and third-party rental agreements that lower reimbursement. Out-of-network represents the last great opportunity for many providers to increase their reimbursement. But remember, what has worked for you in the past is no longer effective in recovering revenue for your practice. The climate has changed and so must you!
Join Thomas J. Force, Esq. in this webinar to get an overview of various methods out-of-network providers can use to maximize claims payments by insurers and patients. Also learn about office policies, appeals processes, and how to handle recoupment attempts. Additionally, understand the various types of consents and disclosures needed to handle out-of-network claims, and more!
Who should attend
Administrative, Front Office and Billing Staff of Out-Of-Network Practices, Physicians and Compliance Specialist.
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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