Revenue Cycle: Introduction to Claim Denials

(39 customer reviews)



This course will build the learner’s core knowledge related to claims processing, payer standardized communications, denials analysis and organizational denials prevention strategies. Learning will begin with a discussion of denials, the claims cycle, and clean claims. Moving on, learners will learn how payers communicate and talk about two main categories of denials. The course will round out with tips and guidance on effective denials prevention strategies healthcare organizations can implement.

Learning Objectives

  • Define a denial
  • Outline the benefits of clean claim submission
  • Explain the difference between a claim rejection and a denial
  • Explain the role of a clearinghouse
  • Identify the standardized codes used in payer communications and
  • Explain the two main types of claim denials
  • Practice root cause analysis by working through a few common denials
  • Evaluate strategies and tools you can utilize to shift your organization into denials prevention mode

Target Audience

  • Billing professionals
  • Revenue integrity professionals
  • Charge master analysts
  • Practice managers

CE Credits

This program has been approved for 1 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

This program has the prior approval of the American Academy for Professional Coders (AAPC) for 1 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Purchasing Details

  • Upon purchase, you will have a 6-month subscription to this course. This will allow you the opportunity to complete and review as often as you like for 6 months.
  • Courses are accessed through
  • Visit our FAQ page for technical requirements and additional details.

39 reviews for Revenue Cycle: Introduction to Claim Denials

  1. Haylee

  2. Yolanda

    Thank you. I truly enjoyed this course

  3. Michelle

  4. BECKY

  5. Haugen Customer

  6. Haugen Customer

  7. Kimberly

  8. Kathy

  9. Lynn

  10. Lacie

  11. Renika

    Thank you for this course!!

  12. Katherine

  13. Haugen Customer

  14. Ehinome

  15. Jodi

  16. Valerie

  17. Haugen Customer

  18. Leah

    Great course! Easy to follow and informative. Thank you!

  19. Haugen Customer

  20. Haugen Customer

  21. Haugen Customer

  22. Haugen Customer

  23. Haugen Customer

  24. Haugen Customer

  25. Danielle

  26. Haugen Customer

  27. Jameeka

  28. Vicki

  29. Liz

  30. Jackie

  31. Haugen Customer

  32. Mikaela

  33. Stephanie

  34. Haugen Customer

  35. Jill

  36. Kendra

  37. Rhonda

  38. Nicole

  39. Laverne

    Good Knowledge base to have very clearly presented

Add a review

Your email address will not be published. Required fields are marked *