Online Training Course

Prod ID: 408
Payer Denial and Appeal Management

Preventing claim errors is essential to combat time-consuming, costly claims resubmissions. Gain the skills required to implement solutions in your pratice to effectively solve the problem of unecessary claim rejections and denials.

CEUs

1

Length

62 min

Price

$119.00

This product is not for purchase at this time.


Insurers work hard to protect their bottom line, and providers are working just as hard to be paid for their services. In some offices, underpaid, rejected, or denied claims can climb to $100,000 per month, according to the American Medical Association. And, if an insurance provider underpays a claim, statistics show that it is up to 35% lower than the original contract amount.

Revenue cycle staff training is critical for healthcare organizations seeking to capture their revenue collected for healthcare services provided. Promoting ongoing education is a win-win for the staff and your practice.

Learners will be able to:

  • Identify when to raise a physician query before encountering a denial
  • Recognize methods of compliance to support the denial management process
  • Become aware of the insurance/ payer guidelines to avoid denials
  • Reduce the claims rejection encounters by the facilities
  • Discover ways to improve the coding and billing process leading to improved Revenue Cycle Management (RCM)
  • Share resources and new information with the whole team

 

Sharon Turner

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.

This program will help you build an attentive, competent and productive team trained to deal with claim denials and rejections, and reduce errors that could make your office vulnerable to fraud and abuse.

No prerequisites required.  

Preventing claim errors is essential to combat time-consuming, costly claims resubmissions. This program will help billing and claims processors, coders, auditors, providers, managers, consultants, and anyone seeking solutions for claim rejections and denials get to the root of the problem and proactively prevent errors before they go out the door.

Learners will be able to:

  • Identify when to raise a physician query before encountering a denial
  • Recognize methods of compliance to support the denial management process
  • Become aware of the insurance/ payer guidelines to avoid denials
  • Reduce the claims rejection encounters by the facilities
  • Discover ways to improve the coding and billing process leading to improved Revenue Cycle Management (RCM)
  • Share resources and new information with the whole team

Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.

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Comments from past participants:

“Very informative!”

“Everyone needs to refresh their knowledge in this area.”

“Excellent content; useful information.”

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