Conquering Denials Proactively!

Administration doesn’t have to include frustration! What we’ll discuss:

• Billing as “revenue cycle management” –  what are the crucial tasks?
• Utilizing “informational no-pay” claim responses to get paid.
• Finding, understanding, and quickly fixing rejections.
• Identifying the reasons why claims may not make it to the “paid” finish line – and then setting up checks and balances to prevent errors from causing problems later.
• How to submit corrections – correctly!
• Voids: an easy way to fix mistakes & pay back money. Why call, send letters, or fill out forms if you don’t have to?
• Understand how to submit secondary claims and avoiding the common rejection reasons.
• How are things are different out of network?
• How Medicare is different (naturally!)
• Interpreting the insurance card to find the correct payer ID.
• Adjustment codes, status codes, group codes, remark codes – decipher the roadmaps to getting paid. What do all these codes mean? Where do you find them?
• Electronic claims “edits” you’ve never heard of that might be keeping your claims stuck.
• What you need to know about clearinghouses, payer ID’s, and electronic data interchange.  (I promise, I’m not going to teach you programming!
• Is your technology betraying you? What features are available out there that will reduce your workload?

Recorded June 5, 2026