You'll Learn
To identify unauthorized pricing practices such as usual and customary denials, accord and satisfaction, and silent PPOs.
The state and federal statutes, legal concepts and case law relevant to unauthorized pricing practices.
To develop a toolbox of resources to help you pursue payers for unauthorized reductions in reimbursement both on an individual claim basis and on a global issue basis.
Strategies to distinguish between reimbursement reduction situations when patient involvement is inappropriate and those situations when patient involvement is authorized.