Denial Management Made Easy (Physician Services, HCFA-1500)
What you'll learn
- Decrease Denial Rate for your practice by learning about 8 Most Common Denial Types - if/and how you can successfully resolve each one
- When to request a claim reconsideration, submit a corrected claim vs an appeal request (w/examples)
- Break down of 3 real life case studies of denied claims, and what action to take in order to resolve each one successfully.
- Learn the difference between 7 and 8 on HCFA-1500 form when submitting a claim.
- Some knowledge of medical billing and coding
As the years go by the medical claim denials are becoming more of a nuisance for the practices everywhere. According to HFMA: “Providers typically do nothing at all to address more than half of denials. Up to 65 percent of denied claims are never resubmitted. Included in this percentage are denials stemming from commercial health plans, which—according the previously cited research—constituted 58 percent of all denials in 2017, up from 54 percent in 2016. This is money left on the table, and the industry is still looking for solutions to tackle the issue.” In this course you will refresh your denial management knowledge. Find out the 8 most common denial types (any specialty) for physician services (POS 11). Explore solutions to the 8 most common denial types, if they can be successfully resolved (hint: not all of them can). Save time! Increase your collection rate. In addition we will go over 3 real life examples of claim reconsideration/corrected claim and an appeal. These examples will include an online submission (through portal), a phone call and a fax request. Plus do you remember the difference between 7 and 8 on HCFA-1500 form? Reduce time you spend on denials and dedicate more of that time on making your practice efficient.
Who this course is for:
- Medical Billers
- Medical Coders
- Anyone that is billing and coding for HBAI Services
- Office Administrative Staff
- Medical Assistants
Hi, my name is Kateryna Patskovska and I am an A/R SME as well as an AAPC Approved Instructor and a Certified Medical Biller (AAPC). I started my career in healthcare back in 2007 with a Utilization Management Company- processing prior authorization requests (physical therapy/occupational therapy). In September of 2019, I decided to narrow my focus on providing training and consulting services for other certified professionals, office staff, providers, anybody that is in healthcare field. The training/consulting focuses on medical/reimbursement policies, benefits investigations and denial management with emphasis on following the proper coding and billing guidelines. Some of my previous projects include: Successful NY Medicaid EHR Incentive Program MU (Meaningful Use) AUDIT (2020), as well as successful attestations for NY Medicaid EHR Incentive Program (4 years/2016-2020) as well as medical coding and billing presentation for various associations: AAPC chapters, BC Magazine, AMBA.