Insurance carriers deny, delay, and recoup payments every day—and too often, providers simply accept these actions as legal. The truth? Many of these tactics are unethical, misleading, and often flat-out illegal.

In this eye-opening session, reimbursement and compliance authority Don Self, CPC, CMCS, CASA will show you how to fight back and protect your revenue. With more than 38 years of experience and over 900 seminars delivered nationwide, Don will uncover the hidden rules, federal protections, and payer tricks that could be costing your practice thousands each year.

You’ll discover not only what payers don’t want you to know but also where to find the laws and regulations that support your claims—and how to apply them in real-world appeals. From commercial carriers to Medicare Advantage (Part C) plans, you’ll walk away with actionable strategies to stop unfair denials and recover what’s rightfully yours.

What You’ll Learn

• The truth about assignment of benefits and what it really means for payments
• Out-of-network coverage rules for both commercial carriers and Medicare Part C
• Myths vs. facts about timely filing and appeal limits
• The rare instances when carriers can legally recoup claims—and when they cannot
• Why pre-authorizations are not required as often as you’ve been told
• How to leverage ERISA and federal protections to overturn denials
• Steps to take when carriers send checks directly to patients
• HIPAA pitfalls hidden in record requests—and how to stay compliant
• The federal timelines carriers must follow for paying and denying claims
• How to force Medicare Advantage plans to cover everything Part B does

Why You Should Attend

If you deal with commercial insurance or Medicare Advantage plans, your practice is almost certainly losing revenue unnecessarily. This session will give you the knowledge and confidence to push back against carriers, reduce recoupments, and recover payments.

Don’t keep leaving money on the table. Join Don Self on September 24th and learn how to stop insurance games before they cost you more.