September 16, 2020

This webinar was previously recorded on September 16, 2020. To view a recording of this webinar, click here. To access an audio only version of this webinar, click here. To access the materials from this webinar, click here  

Health Care Reimbursement Conundrums Webinar Series: Part 2 - Commercial Payors 

Wednesday, September 16
12:00 PM - 1:00 PM CST

As COVID-19 continues to plague the health care industry and the economy, money is tight and making sure you are collecting and keeping every dollar due is paramount. Polsinelli’s Reimbursement Institute team will help health care entities strategize about challenges and priorities for providers to focus on during the COVID-19 period, including reimbursement for COVID-19 related services, resolving past underpaid and denied claims, and addressing commercial payor refund and recoupment efforts. Presenters will identify current priorities and provide specific examples on how to navigate these issues in order to maximize providers’ commercial payor reimbursement.This webinar is meant for finance and revenue cycle executives, and the legal and compliance teams that support them.

• Challenges with Commercial Payor Claims Reimbursement During the COVID-19 Pandemic 
o Ensuring proper reimbursement for COVID-19 related services
o Objecting and disputing unilateral material changes
o Non-contracted payor reimbursement tactics and protecting the provider’s rights
• Resolving open A/R on past commercial claims 
o Assessing validity, existing rights and strength of positions on underpaid and denied claims
o Opportunity for alternative resolution approaches with commercial payors
o Protecting rights to future formal disputes
• Navigating overpayments and recoupments 
o Process for assessing and disputing
o Cross-plan offset legality