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Webinar Opportunity! Trends in Medical Necessity Denials

Dear <<First Name>>,

Join us as Advicare presents 'Trends in Medical Necessity Denials' on November 12, 2020 from 12:00 - 1:00 PM CT. Check out what you'll learn below!

Overview:

Summary of Webinar
Whether by the U.S. Congress or the Mississippi Legislature, there are many rules and regulations in place clearly defining the working relationship between Mississippi healthcare providers and health insurers. But one aspect of the relationship that is unregulated is the issue of what constitutes medically necessary care for purposes of health insurance reimbursement.

This presentation will cover the following:

How Mississippi health insurers define “medically necessary” care
Health insurer practices regarding authorization and medical necessity denials
Tips for composing appeals to overturn clinical denials
Laws, regulations, and common law principles that can be utilized when laying out the healthcare provider’s argument

Target Audience
The workshop is designed for personnel involved with appealing, overturning, and preventing clinical denials.

Webinar Objectives

To obtain a better understanding of Mississippi’s commercial health insurers’ practices in denying payment for services based upon a clinical reason.
To identify common areas for healthcare providers to address to prevent the clinical denials from occurring.
To obtain pointers and suggestions for drafting persuasive appeals on the provider’s behalf to overturn the denials.