Understanding Payer Denials: How To Prevent and Resolve Costly Mistakes?

Are you tired of the confusion and frustration that comes with navigating Payer denials? Is your practice leaving money on the table because of the ever-evolving regulations? Look no further! Our exclusive Denials Masterclass is your golden ticket to unlocking the secrets of this complex process.

Speaker will discuss about Front End Denials Like Demographic Info, Internal Coverage Dates, Authorization Info, NDC & Quantity, Referral, Referring API, ICD 10 Verification. We will also discuss Clearing House Edits like Coerage/Eligibility, Subscriber Info (DOB,Address,ID#), Payer Examples like CIGNA, Provide Credentialing, MSP. Including EOB Denials like Coverage & COB, Global Period, Medical Necessity, Non-covered Benefits, Medical Records Requirement, Lack of information on a claim.

Understand when do you need to send an appeal and when it is not necessary.

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