Yes, some people think they understand ERISA, yet those same people think that the claims filed by physicians and hospitals are physician and hospital claims. They are not. The phrase "they don't know what they don't know" is never more true than with ERISA. It is estimated that less than 5% of people in the healthcare business understand HIPAA from a medical claims standpoint - and that includes attorneys.
This one hour webinar will teach you
- Why your current Assignment of Benefits may not help with ERISA claims
- How that more than 80% of the claims you file every day are actually ERISA claims
- How to stop insurance carriers from recouping on previous claims with just one letter
- Why a Department of Labor law takes precedence over state Insurance laws on YOUR health claims
- That the contract you signed with the insurance carrier may not be valid regarding ERISA claims
- How you have at least 60 days to appeal the claim instead of what the carrier tells you
- Why you are not prohibited from balance billing patients on non-assigned claims - even in Florida
- Why ERISA trumps contracts between you and carriers and even state law… every time
- How to appeal so that the carriers HAVE to pay you on “medical necessity” denials
- How to get carriers to refund money to you that they've already recouped - by using ERISA
- Why more than 70% of billing people in physicians and hospitals have never filed a true appeal
- How to get carriers to send you a check - even if they already paid the patient
- Why timely filing limits in contracts do not apply on most commercial insurance claims
- How to appeal a “bundled” denial in a way to make the carrier pay
- Why the right approach has nothing to do with the state insurance board
- Why talking to the claims department at a carrier is a waste of time
- Wording to use to get the carriers corporate office to contact you quickly
- Quotes from the U S Supreme Court to include in letters to the carrier
and more
Don Self has taught more than 600 seminars and webinars to national, state and local groups for more than 32 years and has been published to hundreds of thousands of clinics and hospitals. His webinars are fun, full of energy and never boring, yet full of information that every office manager, every biller, every coder and every claims person should be aware of. This will be a different webinar that will answer questions for you that you never knew you had!
Presented by: Don Self CMCS, CSS, CEO, Don Self & Associates, Inc. and President, Telecare-USA, LLC
Date: Thursday, March 7, 2019
Time: 1:00pm ET
Cost: Free to HBMA Members/$49 for Non-Members
CHBME: 1 CEU
The last day to register for this webinar will be Thursday, March 7, 2019 at 9:00am ET.
Please see the HBMA Refund Policy page for details on refunds for educational events and products