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Live Webinar By - Thomas J. Force, Esq. View in browser 

Live Webinar


HOW TO DEFEND AGAINST RECOUPMENTS, REPAYMENT DEMANDS AND SIU AUDITS

BY - THOMAS J. FORCE, ESQ.

AUGUST 28 AT 1 PM ET (60 MINUTES)

Special Offẹr: Gẹt $30 O F F on your purchasẹ. Use coupon WBC30

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This webinar will provide strategies for defending against demands from insurers
and health plans seeking rẹfùnds due to retroactive denials. These denials may
be based on various reasons, including mẹdical necessity and fee forgiveness.
The session will cover audits and rẹfùnd demands grounded in both state and
federal law. Additionally, techniques for drafting appeals will be discussed.


AGENDA

 * Recoupments: Understanding why insurers’ Special Investigative Units (SIU)
   usually commence recoupments.
 * Retroactive Denials: Explanation of defund demands as retroactive denials and
   the importance of this distinction.
 * Auditor Requirements: Information auditors must include in rẹfùnd demands or
   recoupment requests.
 * Cross-Plan Offsetting: How to stop health plans and auditors from using
   cross-plan offsetting tactics.
 * Lẹgal Summary: Overview of state and federal laws governing rẹfùnd demands
   and overpayment requests by insurers and health plans.
 * Appeal Drafting Techniques: Practical advice on drafting effective appeals.
 * Medicare vs. Commercial Insurer Requests: Differences between commercial
   insurer and Medicare rẹfùnd requests.
 * ERISA Health Plan Obligations: Basic obligations under ERISA health plans and
   their significance in the context of rẹfund demands by health plans and
   insurers.

View Detailed Agenda

WEBCON60

Frankenmuth, US

 

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