With the HIPAA Act of 1996, insurance companies were required to utilize the standard list of denial and remark codes when processing claims.  It is up to the office to verify that denials received are appropriate and interpret remark codes to further understand the denial.  This webinar will assist those just entering medical billing or those that have experience and knowledge and want to get some new ideas.  Insurance companies rely a lot on computers for processing claims, so there are times when claims are denied in error.  It is important to not only recognize the errors but to know what to do.

Insurance carriers are creating more policies and guidelines for procedures and services.  Denials are received for incomplete claims or claims that are not submitted according to that insurance companies policies.  This webinar will show attendees how to interpret denials to be able to confirm the denial is appropriate, make claim corrections, or appeal the claim when the insurance company has denied it in error.

Areas Covered:-

• Using the denial and remark code listings
• Determine who is responsible for the claim
• Realize when a claim can be corrected
• Correct assignment of modifiers
• Creating effective appeals
• Changing pre-authorizations after surgery

Who Will Benefit?

• Medical offices
• Billing companies
• Insurance companies
• Consulting firms
• Consultants
• Auditors
• Compliance officer
• Physician
• PA
• Nurse
• Biller
• Coder
• Collector
• Claims representative
• Claims adjuster
• Claims processor
• Manager
• Supervisor
• Administrator
• Medical assistants
• Office staff

The target audience is anyone who codes and bills medical claims for professional services