Overturning your rejected Medicare claims and getting them paid can be easier than you think – if you know exactly how to go after the money.
The key is mastering the nuances of the Medicare appeal process by cutting through the government requirements and red tape. If applied correctly, simple modifications to your appeals argument, what regulatory support/documentation you include, and knowing how to decode the appeals decision can make a significant difference in how many of your claim appeals are overturned.
There is a lot riding on the success of your Medicare appeals. Get them wrong, and your claims can be dead in their tracks (along with your money). The good news is, you can get your Medicare claim denials overturned more quickly and recoup the money that is rightfully yours – with a little help…
That’s where national appeals management expert, Sean M. Weiss, CHC, CMCO, CEMA, CPMA, CPC-P, CMPE, CPC, comes in. During his online training session, Sean will walk you through EXACTLY how to appeal your rejected Medicare claims more accurately the first time, so you capture every penny of the reimbursement you deserve. He’ll give you the anatomy, verbiage, and policy details you need to create appeals that convince Medicare to pay up.
Here are just a few of the winning Medicare appeal tactics you’ll receive by attending this 60-minute online training:
- 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
- Hold your carriers accountable to their response deadline
- Get appeal letter verbiage that will really get your claims paid
- Convince payers to pay up with proven tips to research regulations
- Optimize your resources, identify exactly what and how many claims to appeal
- Define when and how you can add addendums to your records
- Write a winning appeal argument and get more denials overturned
- Easy way to track your Medicare appeals timeframes and meet submission deadlines
- Discover rules for when and how insurers can change denials reasons
- Cut through the confusion between appeals for in- and out-of-network claims
- And so much more…
Even if you currently have a Medicare appeals management plan in place, a few simple changes can make a big difference in the reimbursement you are able to reclaim. This training will walk you through exactly how to improve your Medicare appeals processes, and help you get paid more of the money you are due.
Many of the claims that Medicare rejects can be overturned, but only if you can successfully navigate the government appeals maze. That is exactly what this training will help you do. By attending this 60-minute online training, you will receive proven Medicare appeal strategies to get more of your denied claims paid. Don’t wait. Sign up for this must-attend online training today.
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Sean has dedicated his career to serving and advocating on behalf of health care providers, hospital networks, and integrated health systems to ensure a level playing field and due process. Over the past 27-years Sean has focused on helping organizations achieve measurable financial results to ensure stability in their market all while significantly reducing the risk of non-compliance. Sean’s knowledge of the inner workings of government agencies at both the state and federal level make him an invaluable asset to clients.
Sean leads the strategic litigation defense and audit team for DoctorsManagement, LLC. Sean is engaged by the largest and most revered law firms in the nation on matters tied to the False Claims Act and Health Care Fraud Statute cases to ensure the best possible defense for clients targeted by government agencies, their contractors, and commercial payer special investigative units. Sean serves as a third-party Compliance Officer for numerous nationally-recognized organizations across the country creating and ensuring a “Culture of Compliance” to mitigate risk and culpability.
Great material for the Legal Department to view regarding preparation of CMS appeals process!
Martha Davis
Supervisor, Hendrick Health