Claim denials are among the most frustrating and costly hurdles in medical practice operations, directly impacting cash flow, staff productivity, and patient satisfaction. In this comprehensive webinar, renowned coding and billing expert Lynn M. Anderanin, CPC, CPB, CPMA, CPPM, CPC-I, COSC will take participants deep into the core of effective denial management strategies. From identifying common denial types to crafting compelling appeals, this session will equip attendees with the knowledge and tools to reclaim lost revenue and prevent future reimbursement issues.
The program breaks down the complexities behind key denial codes—CO, PR, OA, and PI—and connects them to real-world scenarios like modifier misuse, missing documentation, and bundling conflicts. Participants will learn how to decode payer policies, leverage remark codes, and interpret edits from the National Correct Coding Initiative (NCCI), including Medically Unlikely Edits (MUEs) and PTP edits.
More than theory, the webinar walks through practical workflows for tracking and trending denials, introduces methods for building defensible appeals, and emphasizes the role of coders, billers, and posters in a coordinated revenue cycle team. Sample appeal letters and real claim scenarios will be discussed to demonstrate how to advocate effectively for reimbursement—whether due to modifier 22 issues, add-on codes, or contractual misinterpretations.
Don’t miss this opportunity to elevate your denial management process from reactive to proactive and strategic. Discover how data-driven insights and coding precision can turn denials into dollars and enhance the financial health of your organization.
✅ Key Learning Objectives:
Attendees will learn how to:
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Identify and decode the most frequent denial codes and remark codes.
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Understand the implications of bundling, modifier use, and documentation requirements.
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Interpret NCCI edits and Medically Unlikely Edits (MUEs) to avoid preventable denials.
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Construct persuasive appeal letters with appropriate supporting documentation.
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Apply payer-specific rules and guidelines to avoid non-payment.
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Streamline denial tracking and reconciliation using proven workflows.
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Collaborate effectively across roles (coders, billers, posters) in managing denials.
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Recognize denial trends by payer, diagnosis, or CPT® and implement prevention strategies.
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Use sample appeal language to fight unfair down-coding or payment reductions.
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Enhance revenue cycle performance with coding integrity and accurate pre-authorization.
🎯 Who Should Attend:
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Medical Coders and Billers
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Revenue Cycle Managers
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Practice Administrators
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Insurance Verification and Authorization Staff
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Payment Posters and Denial Resolution Teams
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Healthcare Compliance Officers