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Processing Benefits Claims and Appeals for Self-Funded Health Plans, Health FSAs, and HRAs: How to Make Plan Decisions That Stand Up to Scrutiny Training Class |
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Processing Benefits Claims and Appeals for Self-Funded Health Plans, Health FSAs, and HRAs: How to Make Plan Decisions That Stand Up to Scrutiny Training Seminar
New regulations governing health plan claims and appeals took effect in 2003, and cases decided under the new regulations are now making their way through the courts, sometimes with surprising results.
In this 90-minute webcast, we'll provide an overview of what the regulations require when self-funded health plans (major medical, health FSA, HRA) deny claims and how the regulations require appeals to be handled. Then we'll focus on the practical, day-to-day administrative problems that the new regulations have created, with suggestions for dealing with them.
Here's some of what we'll cover:- What are the new timelines, notice requirements, and disclosure requirements? How do these requirements apply to debit/credit/stored value card payments?
- Who should make claims and appeals decisions? How should claims and appeals decisions be documented? When do you need an expert involved in decisionmaking?
- Step-by-step guidance on the best practices for processing benefits claims and appeals.
- How do the claims and appeals regulations apply when a health FSA or HRA reimbursement is tied to a major medical plan's payment or denial of payment?
- What are the common mistakes that are showing up in cases overturning plan decisions?
Speakers: Darcy L. Hitesman, Esq. and Andrew Ky Haynes, Esq. Ms. Hitesman and Mr. Haynes are principal shareholders and Directors of HaynesHitesman PC, with offices in Minneapolis and Kansas City. Ms. Hitesman is a Contributing Author of EBIA's ERISA Compliance for Health & Welfare Plans manual and Mr. Haynes is a Contributing Author of EBIA's HIPAA Portability, Privacy & Security manual.
System Requirements: Attendees must have a telephone to hear the seminar speakers (we provide a toll-free 800 number) and a Web connection to view the slide presentation. A PDF copy of the slides will be available for download the morning of the seminar.
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Price |
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$195.00
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