How to Draft Appeal Letters & To Resolve Denials Effectively

1. Pre-Authorization Requests: Guidelines & Requirements, How To Resolve Denials Effectively

Do you spend a significant amount of energy and resources on addressing pre—authorization requests?

This not only drives up the administrative costs for healthcare providers like yours, but also results in having less time to treat your patients. Why only you providers? This is a pain point for patients, and payers as well. A large part of claim denials occur due to the lack of up—front clarity about the guidelines and requirements — and can be avoided easily.

Join this webinar, presented by our Billing Expert & Speaker and understand how you can obtain the necessary pre—authorization information on the first visit of patient itself, while ensuring they have the best chance of being successful. Speaker will share the know—how that you can use to streamline your internal processes. Speaker will guide you about what exactly payers are looking for, how to identify areas of risk within the practice, how to appeal a denied authorization — and what information to send to get it overturned. You will learn how to create workflows to manage your office, your patients and your time more efficiently, and how to utilize live representatives, online portals, and forms to your advantage.

Speaker will also guide you to work through your pre—authorization requests and improve your chances of success. This session will help you to learn how to work with payers across different avenues, discover the pros and cons of each form of contact, and understand how to organize your information systematically.

The objective and outcome of this webinar is to make you trained, so you request proper authorizations, appeal denied authorizations correctly, improve patient satisfaction, and manage your time and your work more efficiently.

Webinar Highlights:

• Provide you with the knowledge of what payers are looking for
• Help you to streamline internal processes
• Guide you to appeal a denied authorization properly
• Train you on how to identify areas of risk

Webinar Should Attend:

• Office managers & Administrators, Billing managers and staff, Pre—authorization staff

2. How To Draft An Effective Appeal Letter

Many providers including physician practices regularly suffer from claims denials due to coding issues or lack of medical necessity. Whether you’re an in—network or out—of—network provider, there is something you can do to recoup.

Register for this pre—recorded webinar presented by our Healthcare Law and Regulatory Expert and learn to draft an appeal letter that will get results. The key, of course, is to understand why your claim was denied in the first place, so you can provide the necessary evidence to demonstrate your right to payment. Our speaker, who is an attorney is fully equipped to deliver several real—world methods that do (and don’t) work to recapture payment after an initial denial. He’ll guide you on how to interpret plan terms and provide Explanations of Benefits documents.

This webinar is designed to help you understand why a claim was denied and then collect and submit the documentation required to make a successful appeal. The speaker will explain how and when to make a second appeal, if necessary—and how to appeal not just no—pay claims but low—pay claims as well.

Webinar Highlights:

• Understand why a claim was denied
• Know your appeal rights
• Identify the documentation needed to file a successful appeal
• Capture payment on claims denied due to lack of medical necessity
• Capture payment on claims denied due to coding issues

Webinar Should Attend:

• This program is designed for in—network and out—of—network providers, physicians, and staff members