Premier Supporter

Gold Sponsor

Silver Sponsors

Bronze

Sponsors

Insurance Webinars

Insurance - ERISA Webinars

This four part series lays out some of the basics of ERISA law. These include things that must be done BEFORE making a claim or appeal under a self-funded or other ERISA governed plan, how to appeal an adverse benefit determination and options upon exhausting all available appeal levels.

ERISA – Overview

ERISA – Claims Denials and Pre-Appeal Process

  • Documents:
    1. ERISA Designated Reprsentative and Authorization – here 
    2. Letter Enclosing Authorization and Request for SPD – here 
    3. Second Request for Summary Plan Description – here 

ERISA – 1st & 2nd Level Appeals

  • Documents:
    1. First Level Appeal Letter – here 
    2. Insufficient Information Provided – here 

ERISA – External Review & Remedies

Insurance - Medicare Webinars

Details of the changes to 1500 form

PQRS

Novitas Policy Changes 2012
There were significant changes to the Chiropractic Policy and local coverage determinations by our regional Medicare contractor Novitas.  Below are 6 webinars Dr. Rich Healy created reviewing these changes.  A brief summary of the most significant changes is here.

Medicare 2017 Quality Payment Program 12-2-16

There are significant changes coming to the Medicare system of reimbursement beginning in 2017.   This comes in the form of what is called the Quality Payment Program.  

ANJC’s Medicare consultant Dr. Rich Healy and coding consultant Dave Klein have recorded the following webinar to introduce you to the new system, describe the transition from fee for service to quality performance payments and most importantly – let you know what your options and obligations are for Medicare billing beginning January 1st 2017. 

Medicare Quality Payment Program 2017 Webinar