Health Plan Recoupment Defense - Fight Back!

Event Information
Product Format
Prerecorded Event
60 Minutes
Product Description

Strategies to Defend Yourself From Paying Any Refunds To Health Care Insurers For Overpayments

It’s important for the providers to protect themselves from having to refund health plans for medical claims that health plan claims were over-paid.

Join Thomas Force in this 60 minute webinar, where he will analyze the federal ERISA law and several recent, relevant cases to provide the provider with a unique perspective in their defense of such claims. He will examine recent case law as to how health providers around the country have defended such recoupment claims, and will recommend strategies for defense of such matters.

In addition, Thomas will show you how to write an objection letter to assist the practice in defending recoupment actions and preparing for litigation against the health plan if necessary.

Topics covered in the session:

  • What is Recoupment?
  • How recent case law can assist us in understanding the issues?
  • Strategies in defending such health plan actions
  • Including important ERISA demands in objection letters
  • Interplay with ìnsurance law
  • How Commercial Payers’ Specìal Investigation Units hypothetically target every specialty and send demands for take-back?
  • Why is ERISA important to defense of health plan recoupment and its obligations?
  • What if ìnsurance company does not comply with ERISA demands?
  • What ERISA demands you should include in the response letter?
  • Why should you ensure that the medical records you send for investigation are scrutinized, preferably by a third-party codìng company?
  • When you should involve an expert or attorney?
  • Plus, you’ll get additional handouts on relevant cases.

Who should attend?

All out of network and in network medical providers who provide any type of medical service. Hospital, facility or office staff working in the revenue cycle.

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Thomas Force - Compliance Coding Expert

Thomas J. Force, Esq. is a licensed attorney since 1994 in both state and federal courts in New Jersey and New York, with 27 years of experience in the healthcare and insurance industries. He is the president and founder of The Patriot Group, a full-service healthcare physician advocacy and revenue recovery company providing billing, appeals, collections and follow-up services for healthcare. Thomas is also the former CEO, general counsel and...   More Info
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