The Balanced Billing Dilemma - Out-of-Network Provider Beware!

Event Information
Product Format
Prerecorded Event
60 Minutes
Product Description

Balanced Billing – Importance And The Factors Involved To Stay Compliant

Balance billing is the practice of healthcare provider billing a patient for the amount not reimbursed by their health insurance company.

Is balance billing a way of increasing income for healthcare providers? Do the providers follow transparent pricing while charging patient? These “double dipping” of charges by health care providers is a critical matter for everyone involved—be it healthcare providers, insurance agencies or the patients—because the failure to balance bill patients correctly can lead to massive prospective commercial payer denials, huge refund demands and professional license suspension.

Join our expert speaker Thomas Force in this informative session, where he’ll explain about the techniques to balance bill patients without offending or alienating them. Thomas will also highlight the patient forms that are to be provided.

Take a look at the topics covered:

  • Is balanced billing a Payor penalty?
  • Is balanced billing required, if so what are the requirements?
    I.   The issue of whether or not a non-participating provider can or should "balance bill"
    II.  What all do patients sign up for?
    III. Can doctors issue blanket waivers of these payments or refuse to bill?
    IV. All you wanted to know about "allowed amount" in a patient’s policy
    V.  When can you be found liable to fraud?
    VI. "Patient responsibility" what are the Payors auditing?

  • Accusation of Excessive Charges
  • How can Healthcare Providers Legally Waive Deductibles, Coinsurance and other Patient Responsibility?
  • Balanced Billing Exceptions
  • And more...

Who should attend? Health care provider, Billing and Accounting Staff, Hospital Administrative Personnel, Health Care Attorney

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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