Join us for our next live webinar -- October 17, 2019
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Appeals: Use of the Law, Contract Language, and Documentation
Date: October 17, 2019
Time: 6:00 – 7:30 PM Eastern time
Location: Online (GoToWebinar)
Cost: APBA Members: $15.00
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The non-refundable fee includes 1.5 Type 2 BACB CEUs for participants who sign up for them, are present for the entire session, and complete a brief quiz.
Access to a recording of the webinar will be made available to all registrants who register with GoToWebinar per instructions that will be sent prior to the webinar, and recordings will be made available for any one to purchase after the live webinars in this series are completed. Please note, however, that CEUs will be available only for participation in the live webinars.
Registration deadline: October 11, 2019 - midnight Eastern time
Description: In part 4 of this 5-part series, we will share information on how to obtain the right to appeal on behalf of your clients and why it is in your interest to do so. We will also discuss timing of appeals and why meeting deadlines is critical; the nuts and bolts of the appeals process; and where to find information specific to your client's policy or plan. Tips will be provided on preparing appeals, documentation that you should have in your files to make responding to appeals easier, and what goes into preparing appeals — both facts and legal arguments.
Jodi Bouer, founder of Bouer Law, LLC, has worked as an insurance coverage litigator for top New Jersey law firms and insurers. She is a tireless advocate for the autism, mental health, and special needs communities, working with providers, advocacy and parent associations, legislators, departments of insurance, and families throughout the country. Jodi has represented families and providers in disputes with insurance companies, including issues related to appeals, authorizations, claims, audits, recoupments, and fraud, successfully litigating and settling cases involving state and federal law. She has been recognized as Lawyer of the Year by Autism Speaks.
Kim Mack Rosenberg is a Bouer Law, LLC partner who formerly litigated at one of the top Big Law firms where her practice focused on insurance litigation and products liability. Like Jodi, Kim has represented families and providers in disputes with insurance companies and provided clients with ongoing practice advice. She has headed non-profits focused on children and adults with special needs and frequently speaks on issues related to autism spectrum disorder. She is the author of The Parent’s Autism Sourcebook: A Comprehensive Guide to Screenings, Treatments, Services, and Organizations (2014).
Michele Silcox is founder of ABA Therapy Billing and Insurance Services and MKS Consulting, a Certified Medical Reimbursement Specialist, and co-author of Revenue Cycle Management – ABA Therapy. Michele has worked closely with Bouer Law, LLC to provide in-depth risk assessments for ABA providers to support compliance and profitability in their practice. With scrutiny and regulation of ABA services increasing, providers need to know when they are at risk for non-compliance and how to avoid fraudulent activity. Michele’s goal is to help providers find that peace of mind.
Gina Green, BCBA-D and CEO of the Association of Professional Behavior Analysts, will serve as BACB CE instructor and moderator for the webinar.
Note: The August 28 session was the first and foundational webinar in a 5-part series by these presenters. Others are scheduled from 6:00 to 7:30 pm Eastern time as follows:
- Billing, coding, and documentation to safeguard for audit - September 11, 2019
- Audits, recoupments, and fraud allegations - September 24, 2019
- Appeals: Use of the law, contract language, and documentation - October 17, 2019
- Litigation, mediation, arbitration, and negotiation - November 7, 2019
You must register for each webinar. Watch this page, email, and our social media for announcements about the opening of registration.