If you are having difficulty getting government claims paid, more than likely it’s something you didn’t do. Health insurance is something of an opaque industry. As a consumer, we know we have to pay the premium in full (no partial or UCR payments), we just have no clue how the payor arrived at that rate.... View Article
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... View Article
In this private session, Members are updated on Prompt Payment law and other industry matters to help them stay ahead of the curve when it comes to claims compliance and prompt payment law.
Ed speaks Friday, April 6th at the AAHAM Spring Conference organized by the Minnesota Gopher Chapter. From 9am to 4pm, he will present "When Payors Won't Listen," a powerful denials and appeals letter writing workshop. This workshop will include Minnesota laws and the components of writing a great letter. This will be a good follow-up... View Article
Ed speaks May 17, 1-3pm at the 2018 HFMA Show Me Joint Conference hosted by the Show Me, Greater St. Louis, and Southern Illinois HFMA Chapters. In this session, he will present "5 Things Government Payors Don't Want You To Know." If you are having difficulty getting government claims paid, more than likely it’s something you... View Article
Ed speaks Friday, June 8th at a private session in Oklahoma. He will present "When Payors Won't Listen," a powerful denials and appeals letter writing workshop. This workshop will includeOklahoma laws and the components of writing a great letter.
Join Ed at the sixth National Physician Adviser and Utilization Review Team Boot Camp and the LAX Hyatt Regency Hotel.
ERN/NCRA organizes a powerful, interactive workshop designed to arm providers with tools that can help them keep their doors open and ensure patient access to care. Afterwards, Ed and a panel of NCRA Professional Members will address important topics and trending unfair payment practices in the industry.
For one low price—just $349.00 per person—each participant will get: 1.) Hundreds of pages of informational and practical instructional materials 2.) Sample Letters, Affidavits and Case Study Examples and 3.) Denial Simulation Exercises.
Minimum of 10 attendees required.
To help healthcare professionals advocate for medically appropriate healthcare pursuant to Wickline v. State, ERN/NCRA has organized an educational session that takes participants into a ONE (1) HOUR workshop on how to write powerful appeal letters when payors won't listen. Participants will learn components and strategies needed to write an appeal letter that will help... View Article
