Live Webinar Training

Successful Insurance Claims Processing

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Spend less time fighting denials and more time ensuring that your front-end details are in order. The window to appeal a denied claim is getting smaller. This class will explain how to expedite claims and appeals and get paid.

Class Highlights:

• Explanation and analysis of federal and commercial carrier guidelines
• Overview of insurance plans and payment models
• How to ensure that chart documentation supports claims submitted
• Checklist of necessary patient information
• Insurance verification and preauthorization
• Working with pre-certification and authorizations for continued treatment
• Proper use of the Advance Beneficiary Notice
• Working with Medicare as a secondary payer
• How to appeal inadequate reimbursements
• Patient education and grievance issues
• Procedure for capturing lost charges
• Billing for pre-existing conditions
• Coordination of benefits for covered/non-covered services
• Working with general liability claims
• Address common claims processing errors
• Medicare’s Correct Coding Policy as it pertains to billing
• Tips to avoid duplicate charge rejects
• How to handle refunds for overpayments
• Recovery Audit contractor claim review process
• Know your rights and responsibilities during an audit

Target Audience

This training is designed for claims processors with limited experience, as well as physicians, consultants and clinical staff seeking a better understanding of carrier reimbursement.

What to Bring

Registration includes a digital course manual