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It is extremely important to understand rules and regulations related to overpayment demands to reduce and avoid penalties and stay compliant in the healthcare industry. The goal of this webinar is to explain the meaning of the overpayment demands, and why it is important to review and address them in a timely manner. We will review examples of federal and commercial payer overpayment demands, and how to handle them properly. We will go over False claims act, Fraud Enforcement and Recovery act, Affordable Care act, and ERISA. We will discuss ways how medical practices could be proactive to reduce overpayment demands.
Learning Objectives:
- To understand what the meaning of an overpayment demand is.
- To review why and how an overpayment demand occurs.
- To review ways to properly handle an overpayment demand.
- To review federal and commercial payor requirements.
- To review ways to reduce the risk of an overpayment demand.
- To identify the situations where refund may not required and how to handle them
- To adopt strategies to stop an excess payment claim in its tracks
Areas Covered in the Session:
- Overpayment Demands and how they occur
- Rules and Regulations: False Claims Act
- Rules and Regulations: Fraud Enforcement and Recovery Act
- Rules and Regulations: Affordable Care Act
- Medicare Overpayment Requirements
- Commercial Payors Overpayment Requirements
- ERISA Act
- Patient Overpayment Requirements
- Industry Best Practices
- Ways to reduce or prevent overpayments.
- Live Q&A session
Other Relevant Webinars
Suggested Attendees:
- Medical providers
- Practice Managers
- Medical practice owners
- Physicians
- Billing Managers
- C-level executives
- Medical compliance staff
- Office managers
- Medical billers
- Medical Coders
- Medical Billing Companies
- Providers’ Office Staff
- Hospital Revenue Cycle Staff
- Medical providers, who are involved in the payment process of their practice
Presenter Biography:
Kate has 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.
This is a Live Virtual session.
A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.
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TESTIMONIALS
“Jim Sheldon-Dean’s insights on privacy and security were very much helpful to our team, it was great to learn from an instructor like him. Appreciate!”–CHRISTINE JACOB MD, CDI SPECIALIST
“This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course.” –MELISSA PRESTON, HEALTH INFORMATION MANAGEMENT STAFF
“The workshop was very insightful and made absolute sense in terms of the regulations and their compliance. I am thankful for having the opportunity to attend.”–BARBARA CAPRIOTTY, REHABILITATION DIRECTOR
