Discussion on ERISA claim processing regulations and the latest court decisions which support the providers who are demanding better reviews by payers. Attendees will gain knowledge on federal claim processing guidelines, what type of claims fall under the guidelines, what to do when noncompliance is detected and how courts are ruling on recent cases.

Presentation of 25 Medical Appeal Letters designed to easily appeal most common denials and demand a detailed, PPACA-compliant response from insurers regarding nonpayment.  Get Proven Strategies for Level II appeal customizations, denial prevention and what to do when appeal efforts fail.

Presentation and Review of 50 Level I and Level II Appeal Letters which are designed to easily appeal all denials and demand a detailed response from insurers regarding nonpayment. Get Proven Strategies for Level II appeal customization, denial prevention and what to do when appeal efforts fail.

Can five sentences really mean the difference between appeal success and failure? Speaker Tammy Tipton will explain the importance of each of the five sentences and describe what laws can actually force carriers to be more responsive to each sentence.

Medical billing professionals send detailed, persuasive appeal letters every day. Despite these well-written efforts, many appeal letters result in "Denial Upheld." This webinar discusses how to assess appeal responses for signs of a poor quality review and explains strategies for demanding peer review, peer discussion, expert review and complete clinical disclosure.