Reduce the risk of claim rejections and/or denials due to lack of specificity or erroneous billing. This class explains how to identify and resolve billing problems before your claims go out the door.
This product is not for public view.
This course will explain the provider's rights and responsibilities when appealing claim denials.
MS, CMC, CMIS, CHI, CMAA, CBCS, CEHRS
Sharon Turner is an enthusiastic educator who has taught allied healthcare courses at Brookhaven, Collin, and Vista Colleges. She has received awards and recognition for outstanding achievement in teaching, leadership and community involvement. She is effective in developing lesson plans, providing quality instruction, and promoting a positive learning environment for her students.
She also has more than 12 years of experience as a Certified Medical Coder for OB/GYN, Anesthesia, Family Practice Medicine, Dermatology, Vein and Vascular, and Orthopedics Surgery specialties. She helped implement a new EHR system and successfully increased first pass on clean claims paid by 88 percent within 90 days of implementation.
Sharon is a doctorate student at Abilene Christian University majoring in Organizational Leadership in Adult Education. She has a Master of Science and a bachelor’s degree in Workplace Learning Performance in Applied Technologies from UNT. She currently serves on the Digital Faculty Consultant team at McGraw-Hill Education.
Attend this class to learn how to identify and resolve billing problems before claims go out the door.
The content covered in this course assumes basic to intermediate knowledge of outpatient billing and carrier reimbursement.
The instructor will review rejection codes and review modifiers, bundling, and downcoding examples, and explain how to create a tracking system to minimize problems, lost revenue, and audit risk.
Participants will review claim guidelines and examples that cause a claim to be rejected - including issues specific to telehealth claims. Learn how to monitor payer policies, resolve denials, and implement efficient methods for resolution.
Self-paced online program includes unlimited review of previously recorded instruction and the downloadable course materials for 6 months.