Denials Management: Optimizing Appeals Process for Successful Processing of Denials

Learn to Optimize your Claim Denial Management Process and Improve your Revenue Cycle!

One of the common functions in the medical revenue cycle for practices is adjudicating denials received from the insurance companies. Sometimes procedures or services are denied because they have been coded or billed incorrectly or in error, but it's not uncommon that insurance companies will also deny claims in error. Whether the claim or the insurance company is in error contacting the insurance company in a timely manner is critical to ensure providers are reimbursed for services and procedures that were performed. Join us for this information-packed webinar by industry veteran speaker Lynn M. Anderanin, CPC, CPPM, CPMA, CPC-I, COSC, and understand the insurance companies’ rules and guidelines and where to find them when reviewing claim denials.  

During the webinar, Lynn will review the denial and remark codes of the most common denials and where these can be found as well as common claims edits that also code denials. Lynn will walk through setting up a proven denials management process that includes recognizing trends in denials that can assist in seeing policy or coding changes that need to be implemented.

Webinar Objectives

Everyone in a revenue cycle department has good intentions of taking time to review denials received, and make corrections or write appeals when necessary, however, very often denials are put on the back burner for everything else that can come up in the office. This webinar by Lynn Anderanin will provide proven tips on creating a process for handling denials by the types of denials you may be receiving efficiently.

Webinar Agenda

• Controllable reasons for denials
• Eligibility and pre-authorization
• NCCI
• NCD and LCD
• Insurance Carrier Policies
• Uncontrollable reasons for denials
• EOBs and denials
• Denial tracking and trending
• Reimbursement
• Appeals
• On the Horizon

Webinar Highlights

• Reading denial and remark codes and understanding what they mean
• Know when billing a patient is the right thing to do
• Tips on processing denials in an efficient manner
• Applying insurance carrier policies to your claims to avoid denials
• References that can be used to defeat denials.
• Modifiers that can be used to avoid denials
• Documentation that is important to support your appeals
• The difference between a denial and remark code.

Who Should Attend

• Coders
• Collection and Reimbursement Staff
• Claims Processors
• Managers
• Administrators
• Billers