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Successful Insurance Claims Processing
Spend less time fighting denials and more time ensuring that your front-end details are in order. The window to appeal a denied claim is getting smaller. This class will explain how to expedite claims and appeals and get paid.
Class Highlights:
- Explanation and analysis of federal and commercial carrier guidelines
- Overview of insurance plans and payment models
- How to ensure that chart documentation supports claims submitted
- Checklist of necessary patient information
- Insurance verification and preauthorization
- Working with pre-certification and authorizations for continued treatment
- Proper use of the Advance Beneficiary Notice
- Working with Medicare as a secondary payer
- How to appeal inadequate reimbursements
- Patient education and grievance issues
- Procedure for capturing lost charges
- Billing for pre-existing conditions
- Coordination of benefits for covered/non-covered services
- Working with general liability claims
- Address common claims processing errors
- Medicare’s Correct Coding Policy as it pertains to billing
- Tips to avoid duplicate charge rejects
- How to handle refunds for overpayments
- Recovery Audit contractor claim review process
- Know your rights and responsibilities during an audit
See the full course description here.
Target Audience
This training is designed for claims processors with limited experience, as well as physicians, consultants and clinical staff seeking a better understanding of carrier reimbursement.
What to Bring
Registration includes a digital course manual
Full Schedule
There are no programs scheduled at this time
CEUs:
| PMI | 3 |
