A one (1) day mini-boot camp on cases and laws that prohibits Knox-Keene licensed-health plans, Medicare and Medi-Cal HMOs, PPOs and ERISA Payors from engaging in unfair payment patterns and improper denials.
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
How to request internal VA and CMS prompt payment policies, directives, and Standard Operating Procedures under the Freedom of Information Act. Federal laws that statutorily deem poststabilization services authorized when VA and Medicare Advantage Plans (MAO) fail to respond to authorization requests timely. Federal timeframes for VA and MAO emergency reimbursement and appeals. How to... View Article
On Wednesday, April 13th, the Payer Panel Representatives Meeting will be held. On Thursday, April 14th, Ed will host his PCCP Accelerated: "Mastering Federal and State Appeals, Dispute and Prompt Payment Laws" course. This is an event you do not want to miss. Contact us or the AAHAM Minnesota Gopher Chapter for registration details.
