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Turning Denials into Dollars
Karlene Dittrich, CBCS, CPC, CMPA, CECCS is the CEO and founder of MedRevenue Solutions LLC, a unique company that provides Complex Claims Recovery and Advanced ERISA/PPACA Appeal Services; Denial Management Consulting Services; as well as Advanced Denial Management and Appeals Educational Training.
Karlene uses her expertise as a Certified Professional Medical Auditor (CPMA), Professional Coder (CPC), Billing Specialist (CBCS), as well as ERISA/PPACA Claims Handling Compliance and Appeal Specialist (CECCS), to help equip and assist healthcare practices and facilities nationwide, with a compliant approach to strengthen the appeal process and hold insurance companies accountable to process claims in alignment with applicable state and federal laws. Karlene received her certified ERISA and PPACA appeals training from Dr. Jin Zhou, a national expert on ERISA compliance and appeals.
Karlene’s mission, as a patient and provider advocate, is to ensure healthcare organizations nationwide utilize rights available to protect and receive the maximum insurance revenue entitled and due for services rendered in good faith. Her company has been instrumental in overturning some of the most challenging claim denials, recovery of offsets and circumventing disingenuous audit attempts, successfully recovering thousands of dollars for a variety of healthcare organization clients across the nation. MedRevenue Solutions provides a cost effective solution to assess, address and recover revenue on contracted and non-contracted claims impacted by improper denial and offset tactics, including claims closed and considered as uncollectible, with dates of service spanning back as far as 6 years.
Karlene is also dedicated to consulting, empowering and educating revenue cycle and billing teams nationwide on the relevant State, ERISA and PPACA laws. She has assisted a variety of healthcare providers and their RCM teams nationwide in overturning some of the most challenging claim denials and successfully recovering thousands of dollars considered uncollectible. Her passion is to train providers on advanced appeal strategies and the disingenuous insurance company denial tactics.
She is a frequent speaker for healthcare organizations / associations and has authored a variety of revenue cycle related articles encompassing full Revenue Cycle Management.
Turning denials into dollars
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