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“Strengthen Your Appeal Process ► Protect Insurance Reimbursement and Revenue”
Has your healthcare organization experienced a decline in revenue and an increase in insurance write-offs over the past 10 years, negatively impacting the bottom-line? In a “Rapidly Changing and Unstable Healthcare Reimbursement Environment,” protecting insurance revenue has never been more vital or challenging!! Claim submittals following proper billing guidelines do not always result in the claims payment expected or entitled for services rendered in good faith. This session offers valuable takeaways that help equip and empower executive, revenue cycle and claims management teams on practical ways to safeguard against avoidable write-offs associated with claim denials and offsets thatdo not align with federal and state laws. Discover how your organization can strengthen the appeal process and exercise a compliant approach to compel claim payments and ensure you are receiving all the insurance reimbursement entitled under governing laws. The Claim Protective Rights covered in this session can also be used to leverage contract negotiations, and effectively address contract provisions that may pose a negative impact to the bottom line. This session is designed to inform, equip, and leave attendees walking away inspired to take action.
Presentation Tools and Takeaways
o Ability to analyze the validity of a claim denial and “medical record audit requests”
o Apply protective measures using ERISA and other relevant laws to compel claims payment
o Strengthen your appeal process exercising provider rights and compliant denial management strategies.
o Understand the contract provisions that are “Unenforceable” and “Revenue Protectors.”
o Handouts contain relevant information to aid recall of protective revenue laws and strategies
o A great opportunity to brainstorm those more challenging payer denial tactic scenarios
**This is an extended meeting lasting until 1:30pm