A part of the revenue cycle that has gathered a lot of attention in the last few years are claim denials. Denials can become a very complex and frustrating because they aren’t always appropriate, which makes many question how the insurance carriers can deny claims erroneously. It is important that part of each practices revenue cycle include addressing denials with tracking, reviewing, and appealing denials when they are inappropriate. This webinar will discuss tips on implementing and handling denials to ensure that the practice is not losing money which should be collected from the insurance companies.
• Reading explanation of benefits
• Utilize insurance carriers forms and processes for reconsideration and appeal
• Track denials to be aware of unannounced policy changes and make corrections to avoid future denials
• Determine the capability of the PM system to assist or the creation of a manual process
• Assign different parts of denial management to qualified staff
• Have a successful process so that all claims that should be paid, are paid.
Lynn Anderanin is a nationally recognized expert in orthopedic coding and compliance with over 40 years of experience. She is a Coding Compliance Manager. Lynn frequently speaks on CPT®, ICD-10, and compliance topics, specializing in orthopedic and E/M services.