Recording: Insurer Recoupments "“ What Are Your Rights As A Doctor In New jersey (1 CEU)
About This Event
This seminar is presented by ANJC legal counsel, Jeffrey Randolph, Esq., a health care attorney with thirty years of experience on healthcare and regulatory matters in New Jersey and New York. Mr. Randolph will address pre-payment reviews, post-payment audits, appeals of audits to prevent offset of future claims, appeals and audits in network versus out of network, time frames for recoupments, and extrapolation used by insurers.Attendees will learn about: Pre-payment reviews, Post-payment audits, Appeals of audits to prevent offset of future claims, Appeals and audits in-network versus out-of-network, Time frames for recoupments and extrapolation are used by insurers.
Learning Objectives
- •Understand the differences between pre-payment reviews and post-payment audits and how each impacts your practice
- •Learn the specific time frames and legal limitations for insurance recoupments in New Jersey
- •Identify strategies to appeal audit denials and prevent offset of future claims
- •Distinguish between appeal rights and procedures for in-network versus out-of-network claims
- •Recognize how insurers use extrapolation in audits and develop strategies to challenge improper extrapolation methods
- •Protect your practice rights by understanding healthcare regulatory requirements specific to New Jersey and New York
Speakers
Event Details
Start Date
On Demand
End Date
—
Price
$50
CE Hours
1 hours
Format
Online / Virtual
Speakers
7
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