2024-06-12 Advanced Appeal Strategies for ENT Billing and Coding Professionals: Mastering the Art of Denied Claim Reversals

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    • Professional - $159
    • Community Admin - $159
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    • Retired - $159
    • LMSuser - $199
    • COPM-C Non Member - $199
    • COPM Non Member - $199

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Struggling with denied claims impacting your practice’s cash flow? This session will equip you with the essential tools and knowledge to overcome denials and maximize reimbursements. Dive beyond basic tactics and explore rarely used avenues to effectively fight denials. Through interactive discussions and real-world ENT-specific examples, you’ll gain practical skills to confidently navigate the appeals process and secure deserved reimbursements for your practice.

Learning Objectives:

  • Master Advanced Appeal Techniques: Uncover lesser-known strategies for crafting persuasive appeals, including leveraging payer policies, identifying hidden coding opportunities and utilizing external resources for additional support.
  • Harness the Power of Medical Documentation: Learn how to critically analyze and improve medical records to strengthen your appeals foundation, ensuring accurate coding, detailed justifications and compliance with payer requirements.
  • Negotiate Like a Pro: Develop negotiation skills to confidently advocate for your practice during reconsideration and peer-to-peer reviews. Learn to effectively address denials based on medical necessity, coding errors and policy interpretations.


Michelle Netoskie

COPM, COC, CPC, CPB, CPMA, CPPM, CRC, CPC-I

Fuel Medical

Michelle Netoskie, COPM, COC, CPC, CPB, CPMA, CPPM, CRC, CPC-I, brings more than three decades of experience in revenue cycle management and extensive experience in otolaryngology coding and billing. She joined the team at Fuel Medical in 2024 and specializes in helping members optimize the revenue cycle process. She is also an author, a national speaker and an educator.

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Certificate
1.00 CEU credit  |  Certificate available
1.00 CEU credit  |  Certificate available A total of 1 Continuing Education Unit (CEU) has been designated for this meeting. One CEU is equal to 1 hour of programming.
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