Thursday, May 7, 2026

Successful Insurance Claims Processing
9:00 AM-12:00 PM
(Program# 26539-0507)
3 PMI CEU(s)



Appeals, Refunds & Recoupment Requests
1:00 PM-4:00 PM
(Program# 26542-0507)
3 PMI CEU(s)



Where:
TBD

EDINBURG, TX 78539

Fee:
$239 per person
Includes instructional materials

Seating is limited. Please register early!

Register:

Fax: 210-691-8972
Phone: 800-259-5562
Mail: REGISTRATION

PRACTICE MANAGEMENT INSTITUTE
10223 MCALLISTER FWY, SUITE 104
SAN ANTONIO, TX 78216

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Successful Insurance Claims Processing

More than 90% of your revenue rests in the hands of commercial carriers. Make sure your dollars are flowing in the right direction. Participants will learn a proven system that will improve the accuracy of each claim processed. Your staff will learn how to identify and correct careless mistakes and potential hang-ups before claims are filed. Don’t let your money hang in limbo. Receive valuable tips that will help you avoid duplicate or lost charges.

PMI CEUs: PMI Certified Professionals will earn 3 PMI Continuing Education Units (CEUs) for attendance at this program. If you are seeking CEU credits for other certifications, contact your organization for preapproval and credit guidelines. A certificate of attendance will be provided for attendance at this program.

Appeals, Refunds & Recoupment Requests

When claims are inappropriately reduced, delayed, or denied, it is imperative to appeal in a timely manner with as much supporting documentation as possible. This class explains rights and responsibilities when appealing claim denials. Participants will learn how to troubleshoot and handle payment inconsistencies and respond to inappropriate recoupments for in-person and virtual care healthcare claims. Samples of results-oriented appeal letters will be provided. The instructor will address your questions and share insights to handle the toughest denials.

  • Know what you should be getting paid and pay attention to your denial reason codes on EOBs.
  • Get the latest information on the Medicare appeals process and amounts in controversy, including sample appeal letters.
  • Discover how persistence and familiarity with federal and state laws will provide the necessary guidance needed when appealing claims.
  • Understand the claims rejection methodologies that third-party payers use to deny claims.
  • Review State-specific Guidance on "Prompt-Pay Laws" and access legal guidance, when needed.
PMI CEUs: PMI Certified Professionals will earn 3 PMI Continuing Education Units (CEUs) for attendance at this program. If you are seeking CEU credits for other certifications, contact your organization for preapproval and credit guidelines. A certificate of attendance will be provided for attendance at this program.