2-Part Series: Craft Successful Appeal Letters to Reverse Denials & Boost Pay

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Appeal

Part 1: Write Winning Appeal Letters to Reverse More Claim Denials and Bolster Cash

Payer claim denials can cause you to lose 20% of the reimbursement that you are rightfully due. Learn how to write more successful appeal letters to get more claim denials overturned and paid more of the money you deserve.

$277.00
$287.00
$917.00
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Winning Claims Appeals

Part 2: Persuade Payers to Pay Up with Successful Appeals Process

CMS has plowed through their appeals backlog, opening their doors to reimbursing your claims FASTER. Get expert tips on winning appeals strategies that convince Medicare and private payers to give you the cash you deserve.

$277.00
$287.00
$917.00
Clear

Curious about why payers don’t share their preferred appeal letter protocols on their websites? It’s because they profit when you’re confused about which appeal strategies actually work.

Fortunately, not everyone wants you to stay in the dark. Healthcare attorney Eric Boughman, JD, and appeal strategist Kelly Grahovac, MBA, have created personalized training programs that can show you the exact language, formatting, submission guidelines and contact details that will allow you to create an appeal letter that turn denials into approvals.

During this 2-Part Appeals training series, Eric and Kelly will give you specific, plain-English tips that will allow you to create appeal letters that include all the necessary details you need to collect what you’re due.

After accessing these two expert-led online trainings, you’ll have the skills to confidently fight denials when you know you deserve to get paid. Insurers traditionally deny 1 in every 5 claims — and you can’t afford to sacrifice 20% of your practice’s reimbursement. That’s why these trainings are essential to your practice’s health.

Don’t wait. Sign up today and discover the appeal letter strategies that will help you reverse denials!

SAVE 10% INSTANTLY!

Order your 2-Part series in the next 5 days, and you’ll save an additional 10% off the total cost. Discount is already reflected. No code is necessary. Or, if you prefer, you can order each session individually at the regular rate. ORDER TODAY!

PART 1: Write Winning Appeal Letters to Reverse More Claim Denials and Bolster Cash

Attend the Live Session on Tuesday, November 14th at 1:00pm ET OR,
Choose the On-Demand Recording or CD-Rom to Watch at Your Convenience.

It can feel like a slap in the face when insurers refuse to pay for the care your practice provides. Especially when you appeal the denial and get refused again, but it doesn’t have to be this way. With a few tweaks to your claim appeals, you can quickly get paid more of what you’re due.

Typically, 20% of practice insurance claim appeals are rejected. So, without a proven process, your practice is throwing away 20% of the reimbursement you deserve to be paid.

What you need is an expert on your side who knows the secrets to writing successful appeal letters, and that’s where attorney and mediator Eric Boughman, JD, comes in. During his upcoming 60-minute online training on Tuesday, November 14th at 1 pm ET, Eric will walk you through how to fight your claim denials at every level, from crafting winning appeal letters to exactly what documentation you should and shouldn’t send.

Here are just a few of the practical, step-by-step tactics you’ll receive during Eric’s online training that will help you submit more successful claim appeals and boost your reimbursement:

  • Craft winning appeals letters by including the most essential elements
  • Halt recoupments with proven response verbiage in your appeals
  • Get inside the minds of insurers with examples of their internal processes
  • Uncover the real reason your claim is being denied and combat it
  • Utilize real-life lessons to have more successful claim appeals
  • Demystify payer timelines when filing appeals to improve your pay-up
  • Unearth appeal nuances for major payors to cut denials and boost pay
  • Avoid late appeal responses and keep more of your reimbursement
  • Develop a proven appeals checklist for more successful results
  • And much, much more

PART 2: Persuade Payers to Pay Up with Successful Appeals Process

Choose the On-Demand Recording or CD-Rom to Watch at Your Convenience

Winning appeals – and receiving reimbursement − is now a lot easier for your practice.

CMS has nearly cleared its backlog of Medicare appeals and will now speed up processing new claims. This allows you to reclaim a significant amount of reimbursement from your denials FASTER with a few simple changes to your appeals process. The money is rightfully yours – you just have to know how to go after it.

Even if you have an appeals management plan in place, experts agree that there can be a significant amount of money you are leaving uncollected. Carriers are actually counting on you being too busy to go after these additional funds. In many circumstances, modifications to your appeals argument, regulatory support and knowing how to decode the appeal decision can generate lucrative results.

That’s where national appeals management expert, Kelly Grahovac, MBA, comes in. During her online training session, Kelly will walk you through the EXACT steps of how and when to appeal claims, so you capture more of the reimbursement you deserve. She’ll give you the anatomy, verbiage, and policy details you need to create appeals that convince payers to pay up.

Here are just a few of the winning claims appeals management tactics you’ll receive by attending this 60-minute online training:

  • Hold your carriers accountable to their response deadline
  • Convince payers to pay up with proven tips to research regulations
  • Get appeal letter verbiage that will really get your claims paid
  • Optimize your resources, identify exactly what and how many claims to appeal
  • How to get 2nd level appeals overturned more easily
  • Define when and how you can add addendums to your records
  • Write a winning appeal argument and get more denials overturned
  • Determine when it’s cost effective for your resources to pursue past the 1st level appeals
  • Stop your message from getting lost by submitting too much information
  • Easy way to track your appeals timeframes and meet submission deadlines
  • Master Medicare, private-payer and Medicare advantage appeal nuances
  • Find out how to use appeal reopenings to collect even more revenue
  • Discover rules for when and how insures can change denials reasons
  • Cut through the confusion between appeals for in- and out-of-network claims
  • Uncover precertification appeals tactics that get your claims approved
  • Improve your appeals process with Payer-Specific strategies
  • Demand clinical and coding reviews to overturn more claims
  • And so much more…

Past Webinar Reviews:

“The webinar was very organized and the speaker was well informed.”
– Kimberly Shaw, California Rural Indian Health Board

“It was easy to follow along and the information was conveyed clearly.”
– Johnny Khiev

100% Satisfaction Guaranteed or a Full Refund. 

You take no risk whatsoever. If you find this essential session doesn’t meet your expectations or you are not satisfied for any reason, simply let us know.

Meet Your Experts

Eric Boughman
JD and MediatorFounding Partner, Forster Boughman

Eric leads the firm’s healthcare and technology practices.  He is also a Circuit Court Certified Mediator.  Eric relies on a diverse background to solve complex legal issues for healthcare and medical professionals, businesses and business owners, investors, and entrepreneurs.

Eric spent the first decade of his career as a commercial litigator representing clients ranging from Fortune 500 companies to local business owners, professionals, physicians, group practices, and tech startups in complex legal disputes.  Eric has settled and tried cases involving contract breaches, partnership/joint venture/corporate/shareholder disputes; real estate leasing, purchasing, development and other contract matters; business torts; licensing, franchising, trade secrets, theft, infringement, and breach; fiduciary claims, and professional licensing and professional negligence claims, fiduciary claims, and asset preservation and defense.

Over time, a significant portion of Eric’s practice involved representing companies, groups, and individuals in the medical and technology industries.  As his expertise in these areas grew, and as healthcare and technology have become increasingly intertwined, Eric identified a void in comprehensive legal services specifically tailored to fulfill the needs to healthcare professionals, group practices, tech companies, and their entrepreneurial leaders.  This led Eric to obtain a Certificate in Health Law and expand his practice to provide a full range of comprehensive legal services, including regulatory, transactional, and general counsel for companies in the healthcare, technology, and med-tech space.

With a desire to help his client protect the fruits of their labor, coupled with an understanding that the risk of litigation is ever-present, Eric has for several years developed strategies to protect assets against known and unforeseen risks.  Today, Eric’s asset protection and preservation practice is nationally known.  He represents clients across the country and is regularly called upon to educate lawyers and other professionals on asset protection strategies.

Eric is a frequent writer and presenter on issues involving health law, privacy, technology, and asset protection. His writings have appeared in multiple American Bar Association publications, The Florida Bar Journal, Forbes, Daily Business Review, Accounting Today, Kiplinger, Financial Advisor Magazine, Law360, and CEO World, among others.  Eric also co-authored The Law of Artificial Intelligence, published by the ABA in 2019, and he is the editor of the Florida Health, Tech, and Law Resource.

Eric is rated AV–Preeminent by Martindale-Hubbell.  He has been admitted to practice law in Florida and Nevada, as well as in the U.S. Tax Court, and in several other courts, nationwide, pro hac vice.  He is a member of the ABA’s Healthcare Law Section, Business Law Section, and Cyberspace Law Committee, the American Healthcare Lawyers Association, and American College of Healthcare Executives.

Eric graduated, magna cum laude, from the University of Minnesota Law School, one of the oldest and most prestigious public law schools in the country. While in law school, he was a contributing author to the Minnesota Practice Series Business Law Deskbook (which is still in publication) and he argued before the Minnesota Supreme Court as a student. Eric earned his undergraduate degree from the University of Maryland while he was serving in the U.S. Air Force, during which time his duty included tours in Saudi Arabia and Turkey in support of operations Desert Storm and Provide Comfort.

Eric has earned post-graduate certificates in Health Law from the Brandeis School of Law and in Mediation and Conflict Management from Harvard Law School’s Program on Negotiation.

Eric is active in the local community and professional community.

He has been appointed by the Florida Supreme Court to serve on the Florida Bar’s 18th Judicial Circuit Grievance Committee and the Unlicensed Practice of Law Committee.  Eric is a 2022 recipient of the Seminole County Bar Association Legal Aid Society’s Pro Bono Service Award, rewarded for his work with the veterans’ legal aid clinic. He also serves as a board member and program director for the Seminole County Inns of Court.

Eric serves as general counsel for Rotary District 6980 covering central Florida. He is a past President of the Rotary Club of Lake Mary and continues to serve on that Club’s Foundation Board of Directors. Eric is on the advisory board for the Paralyzed Veterans of American (Central Florida Chapter). Eric and his wife, Heather, proudly serve as Holiday Fundraising Consultants for Franklin’s Friends, an all-volunteer 501(c)(3) organization dedicated to supporting animal welfare in Central Florida. Eric also serves as a legal consultant for Franklin’s Friends and his family was awarded that organization’s first ever “Franklin’s Friends of the Year” award in 2017.

He has been active on various boards and committees with the Florida Bar Health Law Section, the American Health Law Association, and the American Bar Association. He previously served on the Advent Health Cancer Foundation Board and the Seminole Action Board (serving as Parliamentarian for a public-private partnership whose mission focused on bringing together community leaders to address the homelessness crisis in Seminole County).

Eric has also served in board and advisory capacities for other non-profit and professional organizations, technology companies, and healthcare companies.

Kelly Grahovac
MBAGeneral Manager for the van Halem Group

Kelly Grahovac serves as the General Manager for The van Halem Group where she focuses on audits, appeals, education and training across multiple lines of business and various specialties. Kelly is a known lecturer in the DME and HHH industries, speaking at national conferences, state associations, and for private events.

Kelly has nearly 10 years of experience at one of the nation’s leading Medicare contractors where she worked for the DMERC, QIC, and A/B MAC. She has since brought this knowledge and experience over to The van Halem Group, where she has been working since 2013 to assist providers as they navigate the ever changing healthcare payor landscape.