In and Out of Network Billing: Successful Claim Appeal Process


The goal of this presentation to understand the meaning of being in-network and out-of-network with payers; review the life of the claim; review what the appeal process means, review claim appeal guidelines and requirements, review what attachments are needed for the appeal, and how to set protocols for successful follow-up of denied claims for in and out of network providers. 

10 minutes Live Q&A will conclude the webinar.

Why should you attend :

To gain knowledge on in and out of networking billing and appeals to help improve cash flow and efficiency in the practice.

Areas covered in the session:

  • Review of what is in and out of network billing.
  • Review of In and out-of-network requirements.
  • Review federal plan requirements for out-of-network providers.
  • Review of the life of the claim.
  • Review of the appeal process for in and out-of-network providers.
  • Review and understand the timing when appeal is appropriate.
  • Review of what attachments are needed for appeal.
  • Go over ideas on how to set protocols for successful follow-up of denied claims for in and out-of-network providers.

 

Who should attend:

  • Medical providers 
  • Practice Managers
  • Medical practice owners
  • C-level executives
  • Medical billers
  • Medical coders

 

* There will be time allowed for questions at the end of the presentations. (Live Session)

*Not able to attend the live session? Choose an On-Demand option to watch the session later.

Kate has almost two decades of experience in the healthcare industry. She is an expert coder, compliance officer, and trains healthcare providers all over the country. Kate utilizes her expertise to uncover ways to improve billing and coding inefficiencies, training staff, and ensuring compliance, while achieving maximum results and revenues for her clients.

Kate’s successes include small and large practices, ranging from primary care to specialists and surgeons. She is known for helping providers feel confident in their coding and peace of mind with their compliance practices.

Kate’s acute attention to detail, deep understanding of coding and billing, and proactive approach, make her an indispensable asset with all her clients.

$189.00

Webinar Variants

$189.00

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