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

Navigating payer denials can be a challenging endeavor for medical practices, consuming valuable time and resources. In the dynamic landscape of Revenue Cycle Management, billers and coders need to adapt swiftly to stay ahead of denials and, more crucially, to avert these costly errors. Surprisingly, a significant portion—up to 86%—of denials are preventable!

Join industry expert Stephanie Thomas in this informative webinar as she sheds light on identifying common payer remittance codes associated with claim denials. By unraveling their meanings, she will guide attendees through the necessary steps to rectify the issues hindering claims from processing. Learning to decode the reasons behind claim denials through remittance codes simplifies the process of discerning errors or omissions in the original claim submission. This understanding often eliminates the need to contact the payer, a time-intensive task.

Furthermore, the webinar will empower attendees to recognize additional measures to proactively prevent future denials stemming from diverse causes for the same claim.

Stephanie will delve into prevailing payer denial trends, offering seasoned billing teams a wealth of insights. Join us for this enlightening session that promises to equip both novice and experienced professionals with an array of valuable tips.

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 Revenue.
• Cycle Management (RCM)
• Share resources and new information with the whole team

Webinar Highlights

• Preventing Front-End Denials: Learn proactive strategies to prevent front-end denials, minimizing their impact on your revenue cycle and saving valuable time and resources.
• Comprehensive Approach to Denial Types: Understand the various types of denials and discover effective techniques to address them from all angles. Strengthen your denial management process for improved outcomes.
• Navigating Precertification and Medical Necessity Denials: Gain insights into handling complex and costly claims related to precertification and medical necessity denials. Explore practical solutions to overcome these challenges.
• Tackling Common Coding Errors: Dive into common coding errors that often lead to denials. Learn how to identify, rectify, and prevent these errors to enhance claims accuracy and reduce denials.

Who Should Attend

• All types of Medical Billing Professionals, Managers etc