Return-Path: Received: from vps.transocean.com by vps.transocean.com with LMTP id 8KQGI0WGXlrDTwAAInt2oQ ; Tue, 16 Jan 2018 15:09:57 -0800 Return-path: Envelope-to: john@transocean.com Delivery-date: Tue, 16 Jan 2018 15:09:57 -0800 Received: from [192.225.175.136] (port=38125 helo=app7.audio-educationinfo.com) by vps.transocean.com with esmtp (Exim 4.89_1) (envelope-from ) id 1ebaMY-0005hX-5L for john@transocean.com; Tue, 16 Jan 2018 15:09:57 -0800 Received: by app7.audio-educationinfo.com with SMTP id D7E5CAD11.59 for ; Tue, 16 Jan 2018 18:08:53 -0500 To: john From: "Ted Burton" Reply-To: Subject: Jan 17, Out of Network Revenue Optimization, Appeals and Recovery Date: Tue, 16 Jan 2018 18:08:53 -0500 Message-ID: <1A3CA1..@audio-educationinfo.com> MIME-Version: 1.0 Content-type: text/html X-Spam-Status: No, score=2.2 X-Spam-Score: 22 X-Spam-Bar: ++ X-Ham-Report: Spam detection software, running on the system "vps.transocean.com", has NOT identified this incoming email as spam. The original message has been attached to this so you can view it or label similar future email. If you have any questions, see root\@localhost for details. Content preview: Nuts and Bolts Good morning, Many out-of-network (OON) providers today wish they had a business degree to go with their medical one. The increasing cost of treatments and procedures coupled with reduced reimbursements from ínsurance companies—as well as Medícare and Medicaíd—are putting a major squeeze on many practices, bringing the question: What can I do to stop this significant reduction of revenue? [...] Content analysis details: (2.2 points, 3.0 required) pts rule name description ---- ---------------------- -------------------------------------------------- 0.0 URIBL_BLOCKED ADMINISTRATOR NOTICE: The query to URIBL was blocked. See http://wiki.apache.org/spamassassin/DnsBlocklists#dnsbl-block for more information. [URIs: audio-educationinfo.com] 0.0 T_SPF_PERMERROR SPF: test of record failed (permerror) 0.7 MIME_HTML_ONLY BODY: Message only has text/html MIME parts 0.0 HTML_MESSAGE BODY: HTML included in message -0.5 BAYES_05 BODY: Bayes spam probability is 1 to 5% [score: 0.0167] 2.0 RDNS_NONE Delivered to internal network by a host with no rDNS X-Spam-Flag: NO Nuts and Bolts Good morning,

Many out-of-network (OON) providers today wish they had a business degree to go with their medical one. The increasing cost of treatments and procedures coupled with reduced reimbursements from ínsurance companies—as well as Medícare and Medicaíd—are putting a major squeeze on many practices, bringing the question: What can I do to stop this significant reduction of revenue?

To increase your chances of getting paid accurately as an OON provider, it is vital that you implement some best practices before, during and after providing services. Once you have implemented them, you need to know how to appeal claims timely and to the proper authority. Not being aware of these best practices will severely limit your ability to contest deníed and under-reimbursed claims and optimize payments in the current climate.

Join us for this On Demand Webinar, “Nuts and Bolts of Out-of-Network Revenue Recovery,” with expert speaker Thomas J. Force, Esq., on Wednesday, January 17, 2018, (available all day), for a comprehensive overview of what an OON provider needs to be doing for proper reimbursement and appeal success. Get strategies and techniques that will prepare you to treat OON patients while maximizing reimbursements and properly appealing deníed and under-reimbursed claims. Also, you will get a complete list of patient forms that are essential and learn about the current best practices in detail.

Session Highlights

This session will cover:
  • Issues that OON providers face when dealing with health plans
  • An overview of OON reimbursement/charge analysis
  • List of patient forms and disclosures essential to appeals and fraud audit defénse
  • A review of eligibility issues
  • Techniques to appeal deníed and under-reimbursed claims
  • Techniques to write an effective appeal letter/objection letter to audit
  • ERISA protections and obligations of plan administrators
  • Prompt payment law and insurers’ obligations
  • Clinical denials, how to handle external appeals/independent medical reviews
  • Balance billing and recoupment strategies
  • Current best practices in dealing with OON claims
  • And more!
Apply "SAVE20" at check-out and get $20 off on registration.

CLICK HERE TO REGISTER

For bulk orders and discounts, call 1-866-458-2965 and mention ETCIAERK.

Looking forward to your participation.

Thanks,
Ted Burton
Customer Relationship Director

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