Health Insurance Overpayment: Dealing with Overpayment, Recoupment and other Withholding Tactics

The national media is flooded with stories of commercial insurers seeking refunds from previously paid claims. As the date for the implementation of the Affordable Care Act nears, it's crucial to question how to respond to insurers' overpayment claims.

DURHAM, N.C., Sept. 30, 2013 /PRNewswire-iReach/ -- Health insurers are extorting a repayment from the medical provider for alleged "overpayments". Medical health care providers can stop this activity with little insights and a proper ERISA counseling because the demands for repayments are usually not authorized under ERISA healthcare plans. With advent of Affordable Care Act around the corner, the healthcare providers need to know how to stop this "deeds" by health insurers. If you have received a letter from your health insurer seeking a refund claim, and wondering how to respond to that, than join Audio Educators 60 minute audio conference, to get a checklist of what to include in your response letter to avoid paying heavy recoupment.

How To Defend A Take-back Or Refund Request From A Commercial Insurer

If you're a healthcare provider, you must have received a letter from health insurer seeking refunds from previously paid claims. And if you haven't, then consider yourself lucky because almost every healthcare provider has at least received a refund request letter once from a commercial insurer. For this reason, it is essential for the healthcare provider to put a stop to such misconduct—by responding to it properly and appropriately, because an insufficient response could result in a several thousand dollar recoupment as well as professional licensure suspension.

Join expert speaker Thomas J. Force on Thursday, October 3, 2013, where he will shed light on how to defend yourself from paying any penalties to health care insurers for overpayments. Thomas will provide you a checklist of what all items you need to include in your response letters. He'll also provide you the references to state and federal statutes and case law.

Take a look at the topics covered:

  • Checklist of items to include in the take-back response letter
  • Know what initial communications are required
  • Learn about the ERISA demands which has to be included in the response letter
  • Comprehend the use of regulatory bodies
  • Know all about the litigation strategies

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Other Healthcare Compliance Challenges

RAC Compliance Update - 2013

Expert speaker Duane C. Abbey will take this audio conference on Thursday, October 3, 2013, where he will review the current RAC activities, approved RAC audit issues, operational challenges under the RACs, and developing issues that hospitals and clinics should consider in their compliance and other auditing activities. In addition, he'll address associated MAC auditing activities.

Selecting Levels and Types of E/M Office Services           

This informative audio session will be presented by expert Brad Hart on Wednesday, Oct 2, 2013, where he'll shed light on the most important single component of E/M code selection, and will provide you a clear guidance on when consultation codes are appropriate, when a "new" patient is not a new patient, and other vital elements of medical record documentation for E/M services.


We bring you the most compelling audio conferences on a wide array of healthcare topics through revealing conferences. Get updated on topics like—medical coding, billing to CPT changes, E/M Modifiers to OIG work plan, Affordable Care Act to ERISA, RAC updates to fee schedule, Electronic Health Record system to ICD 10 transition, and more. Get trained from the comfort of your home or office without spending a penny on travel. Moreover, you can pick a medium of your choice for training, take your pick from live conference/On Demand/ CD/ PDF transcripts.

To learn more about other updates events for more than 20 specialties, please visit 2014 CPT Billing Updates .

Media Contact: Adam K, Audio Educator, 1-866-458-2965,

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SOURCE Audio Educator



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