Joseph Rivet, Esq., CCS-P, CHC, CEMC, CPC, CPMA, CICA, CHRC, CHPC, CCEP, CAC, CACO, AHIMA-Approved ICD-10-CM Certified Trainer

Joe Rivet is a Managing Partner at Rivet Health Law. He is a licensed attorney in Michigan and is also an arbitrator through AHLA. He practices health law with a focus on transactional matters, compliance, reimbursement, contracts, third-party payor audits, and appeals. Prior to becoming an attorney, Joe started his career in coding. He has written 3 books on E/M auditing, published many articles, and frequently speaks on healthcare reimbursement topics. Joe holds numerous coding and compliance credentials

Thursday Keynote Session

No Prior Auth Required to Recover Your Money

Practices face daily denials related to no prior authorization topped with payer audits seeking overpayments. Legend has it that prior authorization does not guarantee payment and payers can audit as far back as they choose. This session will de-myth these legends and misinformation passed down among staff. Understand the provider friendly state laws around prior authorizations and payer audits.

SESSION OBJECTIVES:

The participants will be able to:

• Understand the law that limits prior authorization and requires payment.
• Learn the details of definitions and how to use them to prevail on an appeal.
• Learn how far back a payer can audit medical claims.