We've developed an onsite appeal training program for organizations which plan to take control of denial management in 2009. Tammy Tipton, President of Appeal Solutions and author of HCPro’s “Appeals Toolkit,” has developed a comprehensive training program designed to assist medical providers with appeals, prior authorization techniques and contract negotiation. This program involves a four hour customized presentation which addresses the client’s most frequent denials. Presentation includes:
- How to utilize state and federal consumer protections
mandates to demand prompt payment, interest penalties on
late payment and prompt, detailed appeal responses.
- How to win medical necessity appeals by demanding
peer-to-peer reviews, clinical review criteria and
external review of denied claims.
- How to use the state verification/utilization review
laws to obtain accurate, uncontestable verifications prior
to treatment
- How to negotiate with carriers who do not follow state
and federal laws regarding claims processing and
utilization review.
Most importantly, this training opportunity is customized to fit your specific denied medical claims and presented to your staff at your office. Prior to the presentation, medical providers may submit 10 representative denials to Appeal Solutions for analysis. Ms. Tipton will develop and explain customized strategies to address both avoiding and appealing the denials specific to your organization. The onsite training session allows your entire staff to receive in-depth training focused on your organization’s unique challenges.
Now is the time to secure this valuable staff training opportunity for your staff. The presentation is priced at only $2500 plus travel expenses. As a special bonus, those who schedule training anytime during the first quarter of 2009 will receive a complimentary copy of HCPro’s Appeals Toolkit (regularly $199).
