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September 21, 2021
240 Mins
Stephanie Thomas & Thomas J. Force, Esq.
$599.00
$699.00
$599.00
$599.00
$499.00
$499.00
$599.00
$499.00
$599.00
$599.00
$499.00
$499.00
All prices mentioned above are for single user access only. For multi-user access, kindly call us on +1 847-268-3838 or email us at support@audiowebinars.com.

#1 Out of Network-how to get pre authorizations or referrals to protect your bottom line

Webinar Description

Pre-authorizations and referrals are one of the most important parts of your medical practice. If you are seeing patients out of network, even more so! Let us show you how to simplify this process and save valuable time for your staff and practice.

According to studies 76% say pre-authorizations lead to patients stopping recommending treatments! We cannot allow payers to determine how patients are treated, this webinar will allow your practice to take back that power and get authorizations and referrals the first time. We will show your team tips on how to identify what payers are looking for and what to provide in requests to get better results from their hard work! Read more...

#2 The New Federal No Surprise Act – Impact on Out-of-Network Providers

Webinar Description

This webinar by industry expert speaker and renowned attorney Thomas J. Force, Esq. is intended to break down the new Federal No Surprises Act, enacted as part of the Consolidated Appropriations Act, 2011, which is intended to protect patients from “surprise” medical bills, including those arising when out-of-network providers utilize and provide services at an in-network facility. Essentially, the goal of the No Surprises Act is to remove the patient from serving as the intermediary between the insurer/payor and the provider/practice. Read more...

#3 Lessons Learned from the Cigna and Aetna cases against Humble Surgical Hospital

Webinar Description

This information-packed webinar by expert speaker Thomas J. Force, Esq. will discuss two court cases involving Cigna v. Humble Hospital and Aetna v. Humble Hospital. The facts of the cases and findings and holdings of the Courts will be discussed and explained. Both cases involve an out-of-network hospital and issues with its billing practices. Mr. Force will explain how the findings in these cases can impact providers based upon their disclosures to insurers and patients, their billing practices, and referral programs.  Mr. Force will walk the attendees through each case and the appeal of the Cigna case. He will discuss the outcomes of the cases and how they affected the financial status of the hospital. Read more...

#4 How to Defend Against Insurance Company Recoupments, Repayment Demands, and SIU Audits

Webinar Description

Out of network (OON) providers keep facing recoupment, refund demand and so-called special investigations (SIUs) from insurance payers and health plan. If you are an out of network provider, it is imperative that you balance bill your patients for the difference between charge and payment. The Webinar will discuss what a recoupment and audit is, the reasons that insurance companies state are the reasons for the overpayments and what steps should be taken to defend against the insurance company’s overpayment demands.  The Webinar will address the ERISA obligations and protections and the importance of a provider obtaining a valid Assignment of Benefits. It will also set forth the notifications which must be sent out by the insurance company when it conducts an audit and seeks recoupment. Read more...

 

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Stephanie Thomas

Stephanie has worked in the medical, billing and coding industry for nearly 20 years. It is truly her passion. Stephanie works closely with small and large private practices to audit and collaboratively improve their revenue stream. She prides herself in her dedication to her clients and has built a team of incredible billers and coders to support her mission of assisting practices and Physicians across the country with proper coding and aggressive billing practices while being compliant. Stephanie also has extensive knowledge in physician practice processes, front desk, back office, and clinical. This knowledge allows her to be an invaluable asset for all things clinical operations,...

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Thomas J. Force, Esq.

Thomas J. Force, Esq.

As a state and federally licensed attorney in both New Jersey and New York, Mr. Force has over 30 years of experience in the healthcare and insurance industries. His success as a Wall Street insurance litigator and his tenure as General Counsel for a New York-based Accident and Health Insurance Company where he served as Chief Compliance Officer propelled the founding of The Patriot Group. The Patriot Group is a full service revenue recovery company that provides billing, collections, and follow-up services as well as assistance with managed care appeals, managed care contracting, credentialing and compliance. Mr. Force is nationally recognized as an expert in revenue collection techniques,...

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