Get Reimbursed: Medical and Dental Coordination of Benefits and Non-covered Services - On Demand Access

Learn how to correctly understand and properly apply the rules governing coordination of benefits and non-covered services during this 90-minute webinar. When your OMS practice learns how to accurately navigate these rules, staff time can be better spent supporting patients instead of dealing with insurance companies. There also exists the potential for significantly greater reimbursements and overall practice revenue. Without knowing which services are covered, when such services are covered and the pre-operative requirements for coverage, your practice’s financial standing can be negatively impacted. Insurers/carriers can deny non-covered services as well as covered services for which pre-operative conditions were allegedly not satisfied. Participants in this webinar will learn how to determine whether services are covered and the appropriate steps are followed to create a more efficient practice with stronger patient satisfaction when they do not have to incur undue charges. It is difficult to collect reimbursement when you do not know the appropriate party to charge and from whom to seek such payment. For this reason, a comprehensive understanding of the coordination of benefit rules – in particular the rules set forth in patient plans and governing their coverage – is imperative. With such knowledge, your practice will be able to better understand who is primarily responsible for payment, to what extent, and the processes you need to go through to secure the reimbursement that you have surely earned. Participants in this webinar will listen to Thomas J. Force, an attorney and owner of a successful medical billing company specializing in these aspects, share his knowledge as well as techniques to ensure the most efficient and profitable operation.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Recognize and examine plan terms governing covered services. 
  2. Learn to examine plan terms governing coordination of benefits.  
  3. Apply the plan terms, as well as applicable laws, to practice operations. 
  4. Determine appropriateness of challenging denials.  
  5. Discuss how coordination of benefits can affect reimbursement. 


An Internet-based CDE/CME Activity
Original Release Date: June 15, 2022
Expiration Date: June 15, 2025
Estimated time to complete this educational activity: 1.5 hours
Method of participation: Self-Study

Thomas J. Force Esq.

As a licensed attorney in New Jersey and New York, Thomas J. Force has over 34 years of experience in the healthcare and insurance industries. His success as a Wall Street insurance litigator and his tenure as General Counsel for a New York-based accident and health insurance company, where he served as Chief Compliance Officer, propelled the founding of The Patriot Group. He is nationally recognized as an expert in revenue collection techniques, appeal strategies and healthcare compliance. Force, a former U.S. Marine, is an active member and frequent speaker on managed care and collection techniques for the Health Finance Management Association, several state medical associations and other healthcare organizations.

Disclosures: No Relevant Conflict of Interest Disclosures were reported.

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.5 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
5/1/18 – 12/31/22
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
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Faculty and Planner Disclosure
Pre-Quiz
5 Questions  |  1 attempt  |  0/5 points to pass
5 Questions  |  1 attempt  |  0/5 points to pass
Get Reimbursed: Medical and Dental Coordination of Benefits and Non-covered Services
Open to view video.
Open to view video.
Post-Quiz
5 Questions  |  Unlimited attempts  |  3/5 points to pass
5 Questions  |  Unlimited attempts  |  3/5 points to pass
Evaluation
11 Questions
Certificate
1.50 CDE/CME credits  |  Certificate available
1.50 CDE/CME credits  |  Certificate available