Although seemingly informal, administrative appeal hearings are anything but. They are civil litigation proceedings governed by the rules of evidence and civil procedure. Failing to preserve issues, submit evidence, and place objections on the record can end a good appeal before it even gets started, resulting in a significant loss of Medicaid/Medicare revenue, well over $150k in many cases. This year's spring conference will explore when a provider should hire a well-trained reimbursement attorney to handle an appeal hearing versus relying on a provider’s Medicare/Medicaid specialist or outside consultants.
This program has been approved for CE credits for 1.5 total participant hours by NAB/NCERS—Approval #20260314-2-A109894-DL.
sb2 Virtual Conference: Medicaid/Medicare Administrative Appeals: Exploring the Pros and Cons of Provider Staff or Consultants Handling Appeal Hearings. 3.20.24
February 5, 2025
sb2 Fall MCO Conference 10.10.24
August 8, 2024
11/9 – LIVE HCCI WEBINAR: MEDICAID RENEWALS POST-PHE
October 13, 2022

A SNF Roadmap to Remedy Bad MCO Behavior – Part 2
February 14, 2022