January 23, 2024
11:30AM - 1:00PM EST
Understanding and Managing Claim Denials
Live Zoom Webinar
Submitting claims for payment to Medicare, Medicaid and commercial insurance programs can be onerous but luckily most go through and are paid. However, there are times—no matter how diligent the billing is—denials, underpayment and miss-payment of services happens.
Some issues are easy to fix, others require intervention at a higher level. This webinar will review the most common denials, miss payments and claim mishaps with proven strategies to get the care provided paid. In addition to lecture, there will be time for questions, clarification and sharing of information between participants and the presenter using the Zoom Q&A and Chat. Examples will be provided for “take home” review to reinforce the learning.
- Explain how the fee schedules can answer many questions on denials, different payment based on location and payment levels for diagnostic testing;
- Correctly submit claims for prevention and a condition visit on the same day;
- Identify how diagnoses coding can block some services from being paid (wrong order of ICD 10 codes, unspecified codes and automatic denial codes) and how modifiers can help get a claim through edits and paid or stop a claim and get an immediate denial; and,
- Appeal Medicare Advantage claim denials that should be paid.
Diane E. Zucker, M.Ed, CCS-P, Health Care Management & Reimbursement Consultant
$75 OSMA Physician & Affiliate member
$100 Staff of OSMA member
This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. Your confirmation will provide a link with the webinar connection details, and you will receive a reminder the day before. Each participant wanting to earn CE credit will need his/her own registration. This webinar will be recorded for on-demand purchase; however, the CE credit is valid only for the live webinar.
There are no refunds once a registration is processed; however, you can change the registration to a co-worker or colleague. If you register for the live event and can’t attend, you will have access to the on-demand recording, but without CE credit.