How to Never Lose an Insurance Appeal
Thursday, March 15, 2018
4:00 pm ET, 3:00 pm CT, 2:00 pm MT, 1:00 pm PT
Registration deadline March 8, 2018.
LifeSpan Care Management has successfully collaborated on insurance appeals for Medicare, Medicaid, commercial health insurance, long term disability insurance, and long-term care insurance over the last 12 years of practice. Since the Affordable Care Act provision that mandates that care be covered while an insurance appeal is filed, there is an opportunity for care advocates to show value to their clients, with ROI’s upwards of 40/1. An understanding of insurance coverage, clinical care, and validated outcomes measurement tools enables successful advocacy for clients and families who are denied coverage.
- The participant will be able to discuss methods that determine appropriate care recommendations using clinical outcomes measurement tools.
- The participant will be able to articulate how coverage determinations are made with regard to covered services.
- The participant will be conversant with the process issues regarding first, second, and final appeals.
- The participant will be able to describe how a Life Care Plan can affect covered services.
About the Presenter
Michael Newell is founder/president of LifeSpan Care Management LLC, an eleven-year-old firm that offers Health Advocacy and Case Management services to those with chronic or catastrophic illness or injury. A graduate of LaSalle University in Philadelphia with a Master’s in Nursing; Michael is the author of two nursing texts: Using Nursing Case Management to Improve Health Outcomes (1996) and Reinventing Your Nursing Career (1998). His clinical expertise is in critical care and in case management/rehabilitation. He has lectured widely on the topics of medical case management and health outcomes measurement, and served as an expert witness for civil court proceedings regarding quality of care in hospital and long-term care settings. Michael has never lost and insurance appeal.
The registration fee for webinars is non-refundable. Registrants who are not able to attend the webinar will receive audio & video files following the event.
In the unfortunate event that a webinar needs to be cancelled or rescheduled ALCA will notify the registrant by email and provide information on the new date or alternative arrangements. If the registrant is not able to attend the new date ALCA will refund the registration fee or place a credit towards a future event.