By - Thomas J. Force, Esq.
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This webinar will provide strategies for defending against demands from insurers and health plans seeking refunds due to retroactive denials. These denials may be based on various reasons, including medical necessity and fee forgiveness. The session will cover audits and refund demands grounded in both state and federal law. Additionally, techniques for drafting appeals will be discussed.
Participants will learn how to object to and appeal refund demands, audits, and recoupment demands from health plans and insurers. This knowledge can potentially save healthcare practitioners hundreds of thousands of dollars in repayments.
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Thomas J. Force, Esq.
Thomas J. Force is a state and federally licensed attorney with over 34 years of experience in the healthcare and insurance industries. As a former U.S. Marine and a successful Wall Street insurance litigator, Mr. Force served as General Counsel for a New York-based Accident and Health Insurance Company, where he also served as Chief Compliance Officer. These experiences led to the founding of The Patriot Group. Mr. Force is a nationally recognized expert in revenue collection techniques, appeal strategies, and healthcare compliance. He is on the Advisory Board at Hunter Business School, a New York-based school for medical billing and coding students. Mr. Force is an active member and frequent speaker on managed care and collection techniques for the Health Finance Management Association, several state medical associations, and other healthcare organizations. On March 29th, 2022, Thomas J. Force, J.D, Esq, President of The Patriot Group, served as moderator for the forum on Clinical Denial Management at Hofstra University, organized by the Health Finance Management Association – Metropolitan Section. For more information on this forum, please email Mr. Force.
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