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Format: | On-Demand Webinar |
Presenter: | DON SELF, CPC, CMCS, CASA |
Time: | You can access the webinar anytime |
Duration: | 60 minutes |
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This one hour webinar helps attendees see how to make insurance carriers follow the federal rules regarding claims payments, which most billers and coders have been unaware of. By the end of the webinar, the attendee will know when insurance claim recoupments are illegal, what the true timely filing periods are, what the federal law requires for timely appeals and more.
This webinar will teach you what 95% of billers, hospital administrators, office managers, coders, physicians and attorneys do NOT know about ERISA and medical claims. Too often, even attorneys have no clue how ERISA can stop a carrier from recouping or how ERISA can make a carrier pay when they do not want to.
Most physicians, managers and billers mistakenly believe the contract they have with a carrier for a specific timely filing limit or appeal period limit somehow locks them into that for EVERY claim they file to that carrier. They do not realize that more than 80% of the claims they file to that carrier are NOT subject to that contract, as the federal law ERISA has different mandates. Yes – that 90 days period you think you have with UHC or BCBS or Aetna does NOT apply on probably 80% of your claims with that carrier. The federal law, that has been upheld by the U.S. Supreme Court many times, says the ONLY thing that applies is what is in the patient’s contract (policy) itself – and that is usually a 180 days or 365 days filing period.
That is only ONE of the many ways that ERISA will help you. It can stop the carrier from doing their “recoupments” or demands for repayment as well as make the carrier pay on claims you didn’t expect.
Over 80% of your non-Medicare and non-Medicaid claims fall under ERISA control. If you master how to write ERISA Appeal Letter and submit correctly, you can overturn denied claims for missed filing deadline rejections, get back reimbursement recoupments, stop payers from downcoding your claims, and so much more. ERISA expert and a renowned healthcare reimbursement consultant, Don Self, CPC, CMCS, CASA, will guide you to write winning ERISA appeal letters that will help you get paid more by non-government payers.
Don Self, CPC, CMCS, CASA, is the CEO and founder of Don Self & Associates, a consulting firm specializing in medical reimbursements and helping physician practices improve patient outcomes and increase profits while staying compliant with all regulations. Don is also the President of Telecare-USA. Don has taught more than 900 seminars/ webinars over the past 38 years to tens of thousands of physicians, NPPs, coders and billers on coding, revenue, reimbursement and billing. He has helped thousands make sure they are paid properly by Medicare and other payers.