|Production Date:||June 20 2011|
Today, insurers are denying more claims than ever, making appeals a more important part of the health care system. Unfortunately, insurance denials can be complex and often claimants are not using the appeals process to its potential. In this program, attorney David L. Trueman discusses the essentials that practitioners need to know about appealing health care and long-term disability insurance denials. From understanding the applicable laws to the important standards of review, Trueman discusses the best practices that should be implemented during each step of the appellate review. With special focus on the underused external review process, this CLE will help health care law attorneys understand how to appeal and also obtain reversals for their clients claim denials.
I. General Concerns
III. Appeals Process
IV. External Review
V. Entrance into Clinical Trials
VI. Applicability of the Patient Protection and Affordable Care Act to Insurance Appeals
Mary (Addison, TX)
Outstanding presentation! I've handled a number of appeals and still learned several "tricks of the trade." Would highly recommend this presentation to everyone - even those who don't regularly practice in this area.
Barbara (Huston , TX)
The very best I have heard on this topic....and I have heard many. Speaker condensed complicated subject matter in an understandable way and laced it with legal tactics as to how to present the appeal. Highly recommended.
Jeffery (San Antonio, TX)
Carl (Urbana, IL)
The best Lawline seminar I've viewed to date.
Robert (Goshen, NY)
very timely for a relatives problem and the entire health insurance climate.
Mary (Wilmette, IL)
This course was truly an excellent overview of a complicated area of practice!
James (Spring Lake, NJ)
Frank (New York, NY)
Masterful command of a complex area. Very clear and easy to follow. Case law very helpful.
jacqueline (dallas, TS)
This instructor is excellent
Stephen L. (Dallas, TX)
A terrific and amazing amount of legal education directly on point to my practice.
Aviva (Fairfield, CT)
Very thorough review and analysis of this area of law as well as very eye opening as to insurers' conduct!
Gerard (hicksville, NY)
great speaker organized thorough presentation
Mary B (Houston, TX)
An excellent program. Outstanding.
Karen (Chicago, AL)
Anita (Clarendon Hills, IL)
I have represented ERISA plan for well over 20 years. Mr. Trueman did a suberb job of explaining complicated concepts of health care appeals.
James (Rochester, NY)
This presentation was excellent.
Matthias (Chicago, Illinois 60606, IL)
I know a lawyer who got drawn into an ERISA case.. this information would have been so helpful for him. Scared me away from practicing in this area - worth watching for that reason alone.
Gregory (New York, NY)
He is very knowledgeable, clear and thorough
Andrea (RANDLOPH, NJ)
He is quite the expert in this field.
Salvatore A. (Succasunna, NJ)
interesting and relevant topic taught by an excellent speaker
kenneth (New York, NY)
Hope (Roslyn, NY)
Dana (Rockville, MD)
Rochelle M. (syosset, NY)
An extremely informative and thorough course. He also highlights the need for more adequate regulation of the health insurance industry. BRAVO!
Natalie (Chicago, IL)
Charles (New York, NY)
David (East Hampton, NY)
terrific presenter who really knew his stuff!