Claim denials increase costs and decrease revenue. Managing them is crucial to achieving revenue cycle management success. Without an effective system to capitalize on the data and address the root causes of denials, revenue flow is interrupted. Problems will persist and revenue will continue to leak, jeopardizing the financial health of the practice, until corrective action is taken to prevent claims rejections and denials.

Don't let claims issues drain your practice. Resolve them at the source. Strengthen your practice's financial health by addressing claims inefficiencies head-on.

Learn how to identify erroneous billing procedures that result in denials and rejections, how to troubleshoot denials, and work within claim guidelines. Review common reasons insurance companies deny, delay, or partially pay a claim. Adopt a proven 10-step approach and solve the denial management problems in your practice. Analyze and investigate unpaid claims and effectively communicate with payers to gain results. Don’t delay! Protect your profits by proactively resolving claims roadblocks.

Learning objectives

• Reducedenials by mastering fundamental claims guidelines and identifying red flags
• Streamlineyour appeals process through effective vetting and claim correction
• Optimizereimbursement by understanding NCCI edits, medical necessity, and prompt pay laws
• Protectyour practice with compliant billing policies that eliminate frequent mistakes

 Enhance your understanding of the types of denials, remittance codes, bundling and CCI edits. Know how to create a tracking system to help minimize problems, avoid lost revenue, and reduce audit risk. Find out how to monitor payer policies, resolve denials, and implement efficient methods for monitoring claims and finding resolution. Master preventing billing problems before claims go out the door. Implement processes that will help you to ensure your claims denial rate stays under control.