Uncover the Secrets of Out of Network Billing

Stephanie Thomas, CPC, CANPC, COSC

Stephanie Thomas, CPC, CANPC, COSC

Stephanie has worked in the medical, billing and coding industry for nearly 20 years. It is truly her passion. Stephanie works closely with small and large private practices to audit and collaboratively improve their revenue stream. She prides herself in her dedication to her clients and has built a team of incredible billers and coders to...
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Pre-recorded
60 Mins
Stephanie Thomas, CPC, CANPC, COSC

Step by Step Process of Out-of-Network Billing and Impact of Surprise Billing Act!

Out-of-network billing can be complex, time-consuming, and unprofitable. Insurance companies try to take advantage of the confusion surrounding the out-of-network billing and undercut the payment of the claim by giving vague explanations. Appealing claims is also significantly difficult, with payers unwilling to cooperate and always on the lookout for every possible way to cap the payment. It is more important than ever to appeal the delays, denials, underpayments, low pay-outs in case of out-of-network billing claims to ensure timely reimbursement.

This webinar by industry expert, Stephanie Thomas will go through the process of out-of-network billing, step by step, to give you the tools to take this from unattainable to seamless for your practice! From Patient financial policies to setting appropriate fee schedules, claim creation and submission, to deciding to balance bill patients, she will cover all aspects with expanded detail.

Stephanie will also go into detail on the Surprise Billing Act, simplifying the unknowns of what this means to providers. She will ensure you know how to protect yourself from costly mistakes. There are major changes that need to take place due to this new law and now is the time to implement them before it’s too late!

Webinar Objectives

  • Patient involvement and communication
  • Office policies
  • Setting proper fee schedules
  • Proper claim creation and submission trick
  • Follow up/denials/appeals
  • Balance billing
  • No Surprises Act

Webinar Agenda

  • Vague office policies
  • Incorrect or lack of follow up
  • Payer relationships
  • Estimates for care
  • Fee schedules
  • Balance billing

Webinar Highlights

  • Main issues with OON billing
  • Ideas of how to improve internal processes
  • Improve OON revenue
  • Resolve low reimbursement
  • Create strong office policies and Patient agreements

Who Should Attend

  • Medical office staff
  • Administrators
  • Office Managers
  • Billing Staff
  • Billing Managers
  • Front desk staff
  • Medical Assistants
  • CNA’s
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