Mastering Medical Appeals & Audits: Legal Strategies to Fight Denials, Recoupments, and Protect Revenue

Osato F. Chitou

Osato F. Chitou

Osato F. Chitou, Esq., MPH is the Founder and Principal Consultant of NMOC Healthcare Compliance Consulting, LLC, d/b/a Compli by Osato which provides legal and compliance advisory services to Payors and Providers in receipt of Government Healthcare Funds. Ms. Chitou has a deep understanding of Government Healthcare Programs and focuses her...
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July 15, 2025
01:00 PM ET | 12:00 PM CT
90 Mins

Attorney-backed appeal strategies, audit-proofing tips, and HIPAA-safe record request responses to safeguard your bottom line

In today’s increasingly regulated healthcare environment, claim denials, record requests, and insurer recoupments are escalating—costing practices revenue and risking compliance. Fortunately, you don’t have to face these legal and reimbursement challenges alone.

Join Osato F. Chitou, Esq., MPH, healthcare legal expert and compliance strategist, for an eye-opening webinar that equips you with attorney-backed appeal templates, strategic defenses, and practical tools to protect your bottom line.

Whether you’re a provider, billing manager, compliance officer, or practice leader, this session will empower you with the knowledge and confidence to assert your legal rights and succeed. Learn how to ethically maximize your practice revenue by mastering the nuances of key healthcare laws, including

  • Overturn claim denials with attorney-approved appeal template guidance
  • Defend your practice against a growing list of medical audit requests
  • Fight recoupments from insurers with specific lawyer-provided verbiage
  • Respond effectively to the dozens of medical record requests patients submit
  • Spot and combat deceptive denial tactics to get your services paid
  • Evaluate whether your patient financial policies are written in a legally defensible way
  • Reverse unnecessary write-offs by citing federal and state guidelines
  • Master advanced denial management strategies at every appeal level
  • Navigate AI, clearinghouse, and HIPAA risks to prevent legal issues
  • Identify legal loopholes while defending against malpractice claims
  • Discover when the law is on your side concerning patient privacy (and when it isn’t)

Webinar Objectives

Insurers, patients, and auditors often dictate how much revenue you can collect. But with the right legal insight, you can flip the script. This session will teach you how to uncover and leverage key federal and state regulations to protect—and even increase—your well-earned pay.

Webinar Agenda

  • Introduction to healthcare legal strategy
  • Top reasons for health insurance denials
  • How to write and use attorney-approved appeal letters
  • Spotting and addressing deceptive denial tactics
  • Legal steps for responding to medical audits
  • Defending against recoupment demands from insurers
  • Handling patient medical record requests legally
  • Ensuring patient financial policies are legally sound
  • Reversing unnecessary write-offs using legal guidelines
  • Legal defense strategies for malpractice claims
  • HIPAA, AI, and clearinghouse compliance risks
  • Q&A with Osato F. Chitou, Esq.

Webinar Highlights

  • Downloadable Appeal Letter Template tailored for ERISA and state laws
  • Sample language to defend against recoupments and audits
  • Decision matrix: When the law supports you—and when it doesn’t
  • Checklist for legally defensible patient financial policies
  • Audit response toolkit: decode insurer tactics and respond smart

Who Should Attend

  • Physicians & Practice Administrators
  • Coding & Billing Professionals 
  • Revenue Cycle Professionals
  • Compliance Officers & Risk Managers
  • Legal Counsel & Audit Coordinators
  • Hospital & Telehealth Leadership

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