Prevent and Fight Clawbacks!
$80.00
Learn to fight clawbacks – you’ll never fear opening your practice mail again!
Do you dread opening the mail?
Worried about receiving a letter that states, “Dear Valued Provider, we apologize for the inconvenience, but you owe us $x,xxx [insert bogus reason]”
It is possible to fight clawbacks -and even to take steps to prevent them!
There are lots of reasons for clawbacks, but we’ll start with the most common one: Coordination of Benefits.
Clients don’t understand why they need to disclose ALL policies – even ones they have no intention of using! But you still might need to know about these policies. Why? Because the determination of which policy to bill first isn’t made by your client! It’s made between the two insurance payers. And it’s based on a complex set of rules.
But that’s just the start, when it comes to fighting clawbacks – this webinar has lots of valuable strategies you won’t find anywhere else!
Version Date: March 2024
Clawbacks are in the forecast!
The insurance industry has “suffered” significant losses in 2023 and 2024 – which means they’ll be looking to YOU to regain some of their profits! You CAN keep your money – if you learn the strategies to fight clawbacks!
- What steps can you take to prevent clawbacks?
- What kinds of documentation will save you if clawbacks do occur?
- Ways to fight clawbacks that you never knew existed!
- Basic Coordination of Benefits Rules – knowing them can prevent clawbacks.
- Addressing CoB with clients, proactively.
- How do they find all this out, anyway? CAQH?!?!
- Secondary claims: why are they so ******** hard?
- What are your options for filing secondary claims?
- Common secondary claims billing errors – how to avoid them!
- Those little codes at the bottom actually MEAN something when I file to the secondary?
- Client issues with clawbacks – what to do / what NOT to do. Get the client on your side!
- Other reasons for clawbacks – there are strategies to fight these clawbacks, too!
- If you refuse to pay, can you make sure they don’t grab it from another client? (the answer might surprise you…)
- How do you fight clawbacks with government payers?
- How does the process differ if you’re in vs out of network?
- Common non-CoB clawback traps – and how to avoid them!
- How to get early warning notice of a potential clawback.
- Dirty tricks the payers play – and how to call them on it!
- What information do you need to assemble, when preparing to fight a clawback?
- Learn the laws you need to know about – in an easy to understand way!
- How to write a bad-ass protest that gets the insurance company to BACK OFF!
- Practicing Prevention: Crafting a stronger financial policy & informed consent for clients
