Understand medical denial in order to be proactive with your case.
Medical denials come in various forms from the type of denial to the party making the adverse determination. There are also different types of payors including the government such as Medicare, Medicaid and TRICARE, commercial such as Aetna, Cigna and United, private such as Blue Cross Blue Shield, as well as other types of payors. All of these have different appeal rights and requirements. This video reviews these types of payors and discusses coverage decision vs. claim denial, due process concerns, and the importance of analyzing and compiling a response to an adverse decision.
Agenda
Faculty
Howard S. Suskin
Jenner & Block LLP
- Partner in Jenner & Block LLP’s litigation department
- Substantial first-chair experience representing individuals and business entities in civil and criminal securities matters
- Co-chair of Jenner & Block LLP’s class action and securities litigation practices
- Members of the Leading Lawyers Network have consistently recognized his work in several areas, including class actions, commercial litigation, alternative dispute resolution, and securities and venture financing law
- Been named one of the Best Lawyers in America for commercial litigation
- Illinois Super Lawyer named him a Top 100 Illinois Super Lawyer eight times
- He is on the faculty of Practicing Law Institute; and has lectured extensively; instructed legal writing at the University of Michigan Law School; and has published numerous treatises and articles on issues relating to arbitrations, class actions and securities law, including serving as editor and co-writer of the West Publishing Illinois Civil Litigation Guide, Moore’s Federal Civil Motion Practice and Pretrial Civil Litigation, the Illinois Institute of Continuing Legal Education Treatise on Class Actions, and the ABA’s Annual Survey of State Class Action Litigation
- J.D. degree, with honors, University of Michigan Law School; graduate, with distinction, elected to Phi Beta Kappa, Northwestern University
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