Getting paid when commercial payers deny your claims for non-covered services can be a nightmare. Even so, you provided the services and deserve to be paid, but how…
Billing patients directly may be your best bet of getting paid for non-covered services, but you should NEVER do so without the correct documentation on file. Just like Medicare, most commercial payers have their version of an Advanced Beneficiary Notice (ABN) or waiver that you must complete and get signed by your patient.
Failing to have a completed and signed waiver on file BEFORE billing your patient for non-covered services can result in a breach of your payer contract. You can even be removed from the plan and unable to continue to care for their patients. Don’t risk it. Get the expert help you need by attending this upcoming online training.
During this online training, expert coder and biller Dawn Cloud, CPC, CMSCS, CHCI will walk you through how to accurately complete a commercial payer “ABN,” help you master when you can and can’t bill patients for non-covered services, and help you get paid for more of the services you provide.
Here are just a few of the practical, step-by-step commercial payer “ABN” advice you’ll receive by attending this online training:
- Comply with top payer “ABN” forms to boost reimbursements
- Boost collections by accurately executing commercial payer forms
- Properly apply non-covered services billing modifiers to reduce losses
- Uncover where to find “ABN” rules in your commercial payer contract
- Determine the differences between an ABN and patient waiver/notice
- Pin down how to correctly bill Medicare Advantage patients for non-covered services
- Identify how to use patient coordination of benefits to reduce denials
- Get takeaway forms to help you more accurately comply with payer rules
- And so much more…
Getting paid for commercial payer non-covered services is no easy feat. You can try and get the denial overturned, which is time-consuming and has spotty success. You can write off the claim, but this is just throwing your money away. Or you can bill the patient, which is probably your best bet – if you do it correctly.
Reserve your access to this online training today. Sign up today.
Dawn has 32 years’ experience in the Medical Industry. She is a Certified Professional Coder through AAPC since 1999. She is the Co-founder of the East Valley Chapter for AAPC in AZ. She has been published in multiple magazine and news articles. Her current role is working in Regulatory Research for one of the large Healthcare Facilities in Phoenix.
In this role she is constantly researching all regulations and guidelines that may affect our industry. She also has a consulting firm where she works teaching Coding Compliance, billing, and regulations for Specialists. Her specialties cover the gamut of medicine and surgery
