Event Materials (Key Required)
This one hour webinar by Don Self, CEO, CPC, CEMCS, CPCS will surprise even the most experienced manager or biller on the illegal tactics that insurance carriers use almost every day but believed by most to be legal. Expert Don will help you to learn how to effectively fight for and protect the patient’s rights to have their claims paid properly to you, the medical professional. We will not only show you what they are doing that is illegal or unethical, but where to find the laws or regulations and how to stop them from these unfair practices. This affects not only clinics, but also hospitals, therapy centers and all medical professionals. Every single provider dealing with insurance or Medicare plans are being misled daily and this webinar will open your eyes and give you tools you need.
Learning Objectives:
- The truth regarding commercial insurance assignment and what it does not mean
- Dispel the myths regarding Out of Network coverages with Medicare Part C Plans
- Misleading statements regarding Timely Filing Limits by all commercial plans
- Why the Timely Appeal Periods are not what they have been taught they are
- The only instance (which is very rare) that a carrier can recoup on claims legally
- How the federal laws protect the patient and the medical provider
- The fact that pre-authorizations are not required nearly as often as providers believe
- A vital fact that gives the providers much more power with carriers than they thought
- The most effective way to deal with anyone at insurance carriers or TPA lying to them
- Illegal tactics used by many carriers to perform recoupments, & how they are illegal
- Proper responses when carriers send the checks to the patient & how to fight it
- Why complying with record requests may be opening clinics up to HIPAA violations
- Carrier time limits on paying and on denying claims – it’s not what you think
- How to make Part C plans cover all that Part B does – it’s the law!
Areas Covered in the Session:
- Medicare Part C plans are dangerous for the patient and for the country
- How Much Medicare Disadvantage plans are required to pay on OON claims
- Why It is Improper for Part C plans to hold out the 2% Sequester
- Who the clinic can & cannot send PHI to, in spite of the demands by carriers
- How to respond when carriers send checks to the wrong address
- When the clinic should reach out to the patient to get help from the employer
- The limiting number of records that carriers can legally request
- Appropriate times to file Grievances with CMS to get their help
- Timing on reporting Commercial carriers to the Federal Government
- Winning Strategies
- Live Q&A Session
Related Webinars You May Like
Suggested Attendees:
- Healthcare CEOs
- Healthcare CFOs
- Healthcare COOs
- Clinic CXOs
- RCM Executives
- Hospital Administrators
- Claims Staff
- Appeal Specialists
- Office Managers
- Billing Staff and Companies
- Physicians and Other Providers
- Healthcare Consultants
- Compliance Officers
- Practice Manager
- In and Out of Network Providers
- Providers Office Staff
- Hospitals and Facilities
- Insurance Companies
- Healthcare Attorneys
Presenter Biography:
Don Self, CPC, CMCS, CASA, is the CEO and founder of Don Self & Associates, a consulting firm specializing in medical reimbursements and helping physician practices improve patient outcomes and increase profits while staying compliant with all regulations. Don is also the President of Telecare-USA. Don has taught more than 900 seminars/ webinars over the past 38 years to tens of thousands of physicians, NPPs, coders and billers on coding, revenue, reimbursement and billing. He has helped thousands make sure they are paid properly by Medicare and other payers.
Additional Information:
After Registration:Â You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.
System Requirement:
- Internet Speed: Preferably above 1 MBPS
- Headset: Any decent headset and microphone which can be used to talk and hear clearly
Can’t Listen Live?
No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact: Toll-Free No: 1-302-444-0162
Email:Â care@skillacquire.com
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.
Purchase Order Form –Â Click Here to download PO form.
Snippet From Our Previous Session
Frequently Asked Questions:
HOW MUCH TIME DOES IT TAKE TO RECEIVE THE DVDs/ FLASH DRIVE? +
For DVDs/ FLASH DRIVE – It will take around 7 working days.
CAN I PLACE AN ORDER ON CALL? +
Yes, you can call our toll-free number 302-444-0162 and ask our representative for the enrollment. Alternatively, you can also mail us at care@skillacquire.com.
CAN I PURCHASE ANY OF YOUR TRAINING FORMATS, AT ANY TIME? +
For DVDs/ FLASH DRIVE – Yes, you can place the order at care@skillacquire.com using the order brochure or can call us at our toll-free number 302-444-0162.
DO I REQUIRE A COMPUTER FOR ATTENDING A LIVE COURSE? +
The system requirements are quite basic: OS: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6 Internet Speed: Preferably above 1 MBPS Headset: Any decent headset and microphone which can be used to talk and hear clearly, in case of live course you can raise questions using a microphone.
HOW CAN I BECOME FACULTY AT SKILLACQUIRE? +
Please share your detailed CV with us and our team will screen the best faculty for the specific field.
HOW CAN I GET ACCESS TO THE LIVE TRAINING? +
You can access the live training using Joining Link or Dial-In Number. To get the joining link, you can click on the conference materials on the product description page, and enter your email address and password that you received in your email.
We will also send you the joining link or dial-in number to the registered email address 2-3 days prior to the live training. You can simply click the joining link to join the live training.
HOW CAN I MAKE A BULK PURCHASE? +
You can call our customer service department at 302-444-0162 and may also avail some discounts on the bulk orders.
WHAT’S THIS DIFFERENT FORMAT? +
- Live (One Attendee) – Only 1 person will be able to join the webinar
- Live (2 to 4 Attendees) – Upto 4 persons are allowed to join the webinar
- Live (5 to 10 Attendees) – Upto 10 persons are allowed to join the webinar
- On-Demand Recording (One Attendee) – Webinar recording link will be provided for a single attendee
- On-Demand Recording (Multiple Attendees) – Webinar recording link will be provided that can access by more than one person
- DVD – DVD will be shipped physically to the address provided
- Flash Drive – Flash drive will be shipped physically to the address provided
- Live + DVD – This allows you to attend live webinar plus you also get DVD shipped to the address provided
- Replay + FLASH DRIVE – Allows you to get webinar recording link plus you also get DVD shipped to the address provided
- Live + REPLAY + DVD – This allows you to attend live webinar plus you also get webinar recording to your email and DVD shipped to the address provided
WHAT CERTIFICATION DO I GET POST THE TRAINING? +
After successful completion of the training, you will be awarded the course completion certificate (on request). The certifications/ recertifications should be mentioned under the description of every course.
TESTIMONIALS
“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
“David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN”
Sandie Fowler, Out of Network Billing Staff
“Great presentation. Able to do during the day. Timing was great.”
Tina Duffy, Compliance Officer
