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Creating an Effective Process to Handle Denials
- Using the denial and remark code listings
- Determine who is responsible for the claim
- Realize when a claim can be corrected
- Correct assignment of modifiers
- Creating effective appeals
- Changing pre-authorizations after surgery
Overview of the webinar
With the HIPAA Act of 1996, insurance companies were required to utilize the standard list of denial and remark codes when processing claims. It is up to the office to verify that denials received are appropriate and interpret remark codes to further understand the denial. This webinar will assist those just entering the medical billing or those that have experience and knowledge and want to get some new ideas. Insurance companies rely a lot on computers for processing claims, so there are times when claims are denied in error. It is important to not only recognize the errors but to know what to do
Who should attend?
- Billers
- Coders
- Administrators
- Medical Assistants
- Providers
- Claims Processors
- Collectors
- Payment Posters
- Administrators
- Authorizations
- Providers (MD and mid levels)
- Clinic management
Why should you attend?
Insurance carriers are creating more policies and guidelines for procedures and services. Denials are received for incomplete claims or claims that are not submitted according to that insurance companies policies. This webinar will show attendees how to interpret denials to be able to confirm the denial is appropriate, make the claim corrections, or appeal the claim when the insurance company has denied it in error.
Faculty - Ms.Lynn Anderanin
Senior Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her local chapter of the AAPC. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters. Lynn became a CPC in 1993, and a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009.