Description
In today’s increasingly competitive healthcare market, insurance companies are strategically limiting access to their networks through closed panels, mergers, and capacity caps. Many providers receive generic denials with phrases like “network is adequate” or “your request will be kept on file.” But behind these vague messages are actionable paths that savvy providers can use to challenge the decision, advocate for patient needs, and present a compelling case for inclusion.
This webinar is designed to give providers and administrators the step-by-step tools they need to evaluate if a panel is worth pursuing, how to identify and engage the right people within payer organizations, and how to construct appeals that get results. We’ll walk through case studies and real-world appeal letters that have helped providers overturn denials—even with large payers.
Participants will leave with a better understanding of how to combine data, local advocacy, and persuasive communication to influence network decisions and open doors that may initially seem closed.
Whether you're a new graduate or an established facility, this webinar will provide you with actionable insights and strategies to give your practice a seat at the table.
Learning Objectives
By the end of the session, attendees will be able to:
- Identify valid reasons panels close and what’s negotiable
- Draft effective appeals using clinical and community impact data
- Navigate payer structures and locate the right individuals to contact
- Escalate credentialing issues appropriately within legal and regulatory frameworks
- Position their practice or provider as a value-add to the payer network
- Maintain a long-term strategy for staying credentialed and competitive
Areas Covered in the Session
- Why insurance panels close: Mergers, state restrictions, budget cuts, and network saturation
- How to evaluate whether a panel is worth the fight (fee schedules, value to practice, demand)
- How to research and contact key insurance decision-makers
- What to include in a compelling appeal letter
- When and how to escalate to the Department of Insurance
- Role of local community leaders and patient demand in influencing panel decisions
- What alternative strategies exist: IPAs, secondary specialties, or narrowing scope
- Best practices for staying on a payer’s radar, even after initial denial
- How to maintain persistence without damaging your relationship with payers
Who will Benefit
- Practice manager
- Credentialing specialist
- Credentialing manager
- Billing manager
- Practice administrator
- Front desk manager
Why should you Attend
- Are you losing patients due to closed insurance panels?
- Have your credentialing applications been denied without clear justification?
- Are you unsure how to appeal or negotiate with insurance networks?
This session is a must-attend for practice owners, credentialing managers, and medical billing professionals who want to understand how to fight for network participation, appeal denials effectively, and maintain steady growth despite industry tightening.
Webinar Details
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Recorded Webinar
Speaker:
Olga Khabinskay
ACS, OASAS Billing Consultant, Urgent Care & Physician/ Ancillary Contracting; Reinstatement; Revalidation; HBMA Payer Relations Committee Chair, HBMA Board of Directors
Olga Khabinskay is director of operations at WCH Service Bureau, a national health care practice management services company that provides billing, co...
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