5 Things Medicare Advantage Plans Don’t Want You to Know (AAHAM Fall 2015 Meeting)

We are in a war. A war to preserve patient access to care; and if you are having difficulty getting government claims paid, more than likely you are fighting with the wrong weapons.
To help healthcare professionals increase their proficiency in Medicare Advantage regulations, ERN/The National Council of Reimbursement Advocacy has organized a comprehensive program that takes registrants into a mini-boot camp on administrative laws that relate to timely reimbursement and prevent improper denials.
Prohibit Medicare from engaging in unfair payment patterns and claim settlement practices.
As advocates, we have a right to demand substantiation of payor actions or inaction.
In this powerful half day session, you will learn:

1. How to request internal CMS prompt payment policies, and Standard Operating Procedures under the Freedom of Information Act.
2. Federal laws that statutorily deem poststabilization services authorized when Medicare Advantage Plans (MAO) fail to respond to authorization requests timely.
3. Federal timeframes MAO emergency reimbursement and appeals.
4. How to overcome Observation vs. Inpatient and Readmission Denials, AND MORE!