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When correctly submitted claims are inappropriately reduced, delayed, or denied, it is imperative to appeal claims in a timely manner with as much supporting documentation as possible. Whether the issue is inadequate payment, denial, or rejection, your billing and auditing staff need the knowledge and tools to properly handle difficult claims management issues.
Protect the practice bottom line with specialized instruction on claims rejection/denial management and prevention. Participants in this course will learn current strategies and best practices. Topics include knowing the practice's rights and responsibilities when appealing claims, and educating providers on the necessary documentation requirements that support medical necessity. When correctly submitted claims are inappropriately reduced, delayed or denied, it is imperative to appeal claims in a timely manner with as much supporting documentation as possible.
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Who Should Attend
This class is ideal for billing and claims processors, managers, providers, consultants, and anyone seeking solutions and for claim rejections and denials.
The content covered in this course assumes basic to intermediate knowledge of outpatient billing and carrier reimbursement.
A course manual will be supplied. No supplementary materials are required for this course.