Upcoming Live Webinar - CMS 2025 Medicare PFS Remote Care Updates: Navigate New Rules to Maximize Revenue Register Here
$239
Format: | On-Demand Webinar |
Presenter: | Kelly S. Grahovac |
Duration: | 60 minutes |
Location: | Online Webinar |
Event Materials (Key Required)
Course Description
It's a lot easier for your practice to win appeals and receive compensation. The CMS has made the Medicare Appeal process simple and faster by clearing its backlog. in the case of Medicare, and will immediately begin to process new claims. With a few easy changes to your appeal process, you can recover the substantial amount of reimbursement. The money's yours, and you need to know how to take care of it. Changes to your appeal argument, regulatory support, and knowledge of how to interpret the decision on appeal can lead to lucrative results in a number of circumstances.
This course will outline how to appeal denied claims from federal payors more effectively and efficiently. Understanding the different levels of appeals, the development of a strategy for each case, and writing persuasive appeal letters. You will also master the nuances of submitting appeals, such as reopening, network status, and clinical and coding reviews. By the end of this course, you will improve your appeal process and have the tools to recover more revenue, by ensuring success by understanding that details matter when it comes to keeping your money. Expert Kelly will walk you through the exact steps of how and when to appeal claims, so you capture more of the reimbursement you deserve. She’ll give you the anatomy, verbiage, and policy details you need to create appeals that convince payers to pay up.
Learning Objectives
Areas Covered in the Session
Suggested Attendees
About the Presenter
Kelly S. Grahovac serves as the General Manager for The van Halem Group where she focuses on audits, compliance, education, and resolving complex issues for clients in the post-acute care space. Kelly has over 20 years of experience working at one of the nation’s leading Medicare contractors and with The van Halem Group and is a known lecturer in the HH&H and HME industry, speaking at national conferences, state associations, and for private events. In addition, Kelly is a common contributor to a variety of industry publications and serves as a board member for both the South Carolina Medical Equipment Suppliers Association (SCMESA) and Big Sky Association for Medical Equipment Suppliers (AMES). Kelly also serves on the National Supplier Clearinghouse Advisory Committee (NSCAC).
Additional Information
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Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com
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Testimonials
"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course."
Melissa Preston, Health Information Management Staff
"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN"
Sandie Fowler, Out of Network Billing Staff
"Great presentation. Able to do during the day. Timing was great."
Tina Duffy, Compliance Officer