Get Claims Paid Faster: Proven Appeal Template for Denied Claims

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Course Description

Learning how to draft an appeal letter is very crucial that it saves your time and you can recover significantly more revenue from your denied claims with a few simple changes to your appeals process. Even if you have an active claim dispute process in place right now, experts agree that there is underlying money just waiting to be collected. This webinar will help you understand how to get your claims paid once you receive a denial. Be sure to have workflows in place to understand the claims cycle and appropriately submitting the right information the first time. Not all payers are created equal. It’s up to you to know the information required so payments can be overturned without a second or third submission.

Learning Objectives

• Creating a workflow for claims processing once EOBs are received
• Understanding the claims codes when there are denials and requested for additional information for payment
• Reduce initial denials by knowing your contract parameters and be sure to know your contractual obligations when posting denials outside of the electronic remittance
• Establish workflows for all claims and have dedicated individuals to your revenue cycle
• Major components of successful appeal letter to improve payments
• Understand the payers rules and guidelines

Areas Covered in the Session

• Denial vs. Rejection
• Posting the payment when payments are received will reduce second and third appeals
• Payments and electronic remittance advice
• Verifying all coverage prior to the patient coming to the office for appointment
• Revenue cycle process
• Contractual obligations and know when and how a COB can create denials
• When to appropriately transfer to the patient for payment
• Key components of a successful appeals letter template
• Get more claims overturned with effective appeal language
• Federal and state supporting guidelines
• Identify “no-win” appeal situations and stop wasting your time
• EOB underpayments and down-coding
• Appeal deadlines and understand hidden payer filing rules
• Train your front desk staff for accurate information
• Live Q&A Session

Suggested Attendees

• Physicians and Non-Physician Practitioners
• Qualified Health Care Professionals
• Coders
• Billers
• Auditors
• Nurses
• Practice Managers
• Medical Officers
• Compliance Officers
• Clinic Managers
• Insurance Company Claims Reviewers
• Insurance Payers
• Payment Policymakers
• Denial Resolution Team

About the Presenter

Maya Turner, CPC, CPMA, CPC-I, has nearly 30 years of experience in revenue cycle management, coding compliance and education. Maya’s dynamic teaching style and unparalleled expertise will undoubtedly enrich the learning experience for our participants, ensuring a comprehensive and engaging educational journey. A seasoned certified coder and auditor, boasting of nearly 30 years of experience and subject matter expert to many coding compliance subjects, she especially is sought after for her in depth knowledge base of pro fee multi-specialty practice, primary care, hospitalists, telehealth, inpatient, as well as SNF. She is also a published author having written articles for AAPC and HCCA, and currently is a part of the ACDIS Leadership Council. She’s scheduled to speak at such venues as HealthCon, and HCCA’s Compliance Institute.

She showcases her unmatched three-dimensional thinking in complex subject matters, Maya's success is marked by her clear and well received presentation style, reflecting her profound understanding and expertise. Maya also has a consulting service called Turner Expert Consulting Services, LLC. This venue allows her to assist other entities and provide training and expertise outside of her current employer. It’s with this, bringing her great joy to assist others in any way she can.

Additional Information

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com 

This is a Live Virtual session.

A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.

Purchase Order Form - Click Here to download PO form. 

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