Essentials of Claims, Denials, and Appeals

Description

According to the Medical Billing Advocates of America, throughout the healthcare industry, 1 in 7 submitted claims is denied. The reasons span data entry and coding errors to ineligible patients and lack of medical necessity and more. This course is designed to logically flow from how to submit an insurance claim to what to do if the claim is denied.

Learning Objectives

Upon completion of this course, you will be able to:

• Understand the common reasons claims are denied by payers
• Explain a payer’s standard appeal processes
• Identify the tools and process for successful appeals

Source File Format

Storyline 360, Storyline 3

Course Features

Course Duration: 25 minutes

Professional Voice-Over Narration

Interactivity

Resource Attachments

Assessments