BESLER Webinar: Guide to Appeals

BESLER's "Guide to Appeals" webinar on April 3, 2024, offered critical insights into navigating the complex world of Medicare reimbursement appeals. This session equipped attendees with practical strategies to maximize recovery and minimize financial losses.

Featuring renowned industry experts: Christina Brown, Director of Reimbursement at BESLER; Kristin DeGroat, General Counsel at BESLER; and Leslie Goldsmith, Partner at Bass, Berry & Sims.

1. Cost Reports

Essential background on cost reports, including protested amounts, amendments, and reopenings. Attendees gained clarity on preserving appeal rights and correcting errors effectively.

Background, Protested Amounts, Amendments, Reopenings

Key strategies for handling disputed costs, self-disallowances, and timing for amendments versus reopenings were thoroughly discussed.

2. Provider Reimbursement Review Board (PRRB) Appeals

Comprehensive overview of PRRB appeals, including filing requirements, the full life cycle of an appeal, and commonly appealed issues.

Overview, Filing Requirements, Life Cycle, Commonly Appealed Issues

Practical advice on deadlines, documentation, process stages, and high-impact issues that hospitals frequently challenge.

3. Teamwork

Emphasis on the importance of cross-functional collaboration between legal, reimbursement, and finance teams to drive successful appeals.

4. Questions

Interactive Q&A session addressing attendee questions and real-world scenarios.