Automatic denials and payer recoupment are becoming more and more frequent. In many cases, the denial or demand for repayment is unjustified and erroneous. Without taking proper steps, Providers are often left writing off these denials or repaying monies that they should not have to. In this presentation, ANJC Compliance Consultant David Klein, CPC, CPMA, CHC will discuss key concepts in defending against unjust automatic denials and recoupment. He will show Providers how to utilize coding, billing and reimbursement rules, techniques and resources to limit these erroneous payer tactics.
Recorded for distance learning credit
David Klein, CPC, CPMA, CHC, is the ANJC’s coding and compliance consultant. He is the co-founder of PayDC, a web-based Electronic Health Records Practice Management system that focuses on compliance and reimbursement. He is a certified professional coder through the American Academy of Professional Coders (AAPC) and is certified in healthcare compliance through the Health Care Compliance Board (HCCB). He is also the Founder and President of DK Coding & Compliance, Inc. a health care consulting firm that focuses on audit defense, education, compliance and reimbursement issues.
