Upcoming Complimentary Webinar

Legal Arguments for Clinical Appeals

Wednesday, July 20th, 2022 at 2 PM Eastern Time

CEU’s for AHDAM Members Only

Writing a great clinical argument for medically necessary services is no longer enough to win appeals. Appeal specialists must employ all entitled rights of appeal and that includes understanding and incorporating legal arguments. In this session we will present legal arguments that any clinician can understand and that apply to the most common situations encountered in denials, such as Emergency Services and EMTALA, authorization, experimental or investigational, and others.

Learning Outcomes:  At the conclusion of the webinar, the learner will be able to Insert basic legal arguments into an appeal letter, incorporating the correct legal argument for the specific situation. The learner will be able to:

1. Describe the purpose of including legal arguments in clinical appeals
2. Identify the agency in their state that sets legal regulations for medical insurance
3. Match up one legal argument with the appropriate circumstances for use

About the presenter:

Bill Haynes, Esq.

Bill Haynes, Esq. serves as the Managing Attorney for Denial Research Group – AppealMasters. Bill is a member in good standing of the Maryland Bar, a member of The Association for Healthcare Denial and Appeal Management, and a member of the American Health Law Association. Bill has experience in healthcare law, including managed care contract analysis, payer-provider arbitrations, and the independent review processes. Bill personally manages a team of attorneys who do legal research, answer legal questions, and draft language for Medicare, Managed Medicare, Medicaid, and Commercial appeal cases, independent reviews, and arbitrations.

Click Here to Register!

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General email accounts such as Gmail or yahoo will not be approved for attendance.