How to Appeal Denials, Scrub EOBs, The 1500 Form & ICD-10 Pointing

Topics:

  • How to appeal the most common denials
  • How can it be “not medically necessary”…it’s only the 1st visit?
  • Service denied due to being bundled / mutually exclusive / incidental
  • Missing or invalid modifiers
  • 97140 & 99213 bundled with 98941 due to CCI edits
  • Modifiers 59, XS, GP, 97
  • How to prove medical necessity
  • Deductibles, co-pays, co-insurance
  • 1500 form boxes 14, 15, 24J, 25, 31
  • How to point box 21 to 24E
  • How to bill secondary insurance plans
  • Discontinued use of G-codes G8730, G8731, G8732
  • Medically necessary care vs maintenance/wellness care
  • How to calculate units of billing
  • Pre-payment and post-payment audits
  • How to prevent the most common denials
  • Sample assignment of benefits form
  • Sample completed 1500 forms
  • Fight-back letters for 97140 & 99213 bundling
  • Sample ABN, Treatment Plan & Financial Policy forms provided

Date:  Tuesday, May 11, 2021

Time 1:00 pm - 2:30 pm ET

Registration Fee: $99 Live & Recorded (YOU GET BOTH)

TC Members:  No Charge

The webinar is followed by Q & A

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