Payer denials can be time consuming, frustrating and costly for a medical practice. Revenue cycle management is an ever changing space and billers/coders must move with these changes to stay on top of denials and more importantly the prevention of these costly mistakes. It’s been said that upwards of 86% of denials are avoidable!
In this webinar, we will identify common payer remittance codes that relate to claim denials, explain what they mean, and provide the steps necessary to resolve the issue(s) preventing the claim from processing. Once we understand how to interpret the reason the claim is denied by studying the remittance codes, it is much easier to determine if there was an error or an omission in the original claim submission. Most of the time it is not necessary to contact the payer, which can be very time consuming. We will also identify extra steps that may be taken to prevent future denials of the same claim for a different reason.
There are several payer denial trends that our speaker will cover, please join us for this very informative session that will be sure to bring several tips to even the most seasoned billing teams.
Webinar Objectives
- Front end denials-how to prevent
- Types of denials-make sure you are working these from all sides
- Precertification and medical necessity denials-how to handle these costly claims
- Common coding errors causing denials
Webinar Agenda
- 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 Revenu Cycle Management (RCM)
- Share resources and new information with the whole team
Webinar Highlights
- Modifiers to assist in denial prevention
- Eligibility and patient involvement
- Documentation tips for medical necessity
- Appeal and resubmission pointers
- Time saving tools for success
Who Should Attend
All types of medical billing professionals, managers etc
