Special Half-Day Program on Bad Behavior by Private Insurers

Wednesday, May 2, 2018, 8:30am – 12:30pm

Make sure your travel plans for EDPMA’s Solutions Summit allow you to stay through Tuesday night’s Closing Reception and Wednesday morning’s special focus on bad payer behavior. Insurers are increasingly implementing reimbursement policies that may violate laws that protect patients and providers, such as:

  • the Prudent Layperson Standard,
  • the Emergency Medical Treatment & Labor Act,
  • the Greatest-of-Three Rule,
  • the Affordable Care Act,
  • Coding Regulations,
  • and more.

EDPMA will offer four sessions focused on solutions for fighting back when insurers:

  • automatically deny or down code claims based on a diagnosis list,
  • automatically down code claims with modifier 25,
  • inappropriately reimburse for out-of-network emergency care,
  • inappropriately limit balance billing,
  • demand problematic coding modifications,
  • and more.

This half-day program is included as part of your Solutions Summit registration. Alternatively, you can purchase a Wednesday Half-Day Registration ($250 for EDPMA members and $300 for nonmembers).