Description

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.

 

Objectives:

Lesson 1: Denials, the Claim Cycle, and Clean Claims

  • Define a denial
  • Outline the benefits of clean claim submission
  • Differentiate between a claim rejection and a denial
  • Explain the role of a clearinghouse

Lesson 2: Payer Communications and Denial Categories

  • Identify the standardized codes used in payer communications
  • Explain the two main types of denied claims

Lesson 3: Effective Denials Prevention Strategies

  • Practice root cause analysis of denied claims
  • Evaluate strategies and tools for denials prevention

Target Audience

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

CE Credits

AHIMA
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.

  • Domain: Revenue Cycle Management

AAPC
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.

  • Specialty CEUs: COC, CPC, CPC-P, CPB, CPCO, CPMA, CPPM

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 www.haugenacademy.com.
  • Visit our FAQ page for technical requirements and additional details.

379 reviews for Revenue Cycle: Introduction to Claim Denials

4.5
4.5 out of 5 paws (based on 379 reviews)
Top dog!70%
Doggone good!12%
It was OK.16%
It was a bit RUFF.2%
Bad to the bone.0%

 

September 17, 2025

Great amount of information presented and easy to follow.

Avatar for Carol
Carol
August 21, 2025

great job

Avatar for Melody
Melody
July 24, 2025

Great information, clarified some gaps that I had regarding the billing process

Avatar for Sally
Sally
June 11, 2025

just so boring. The monotone lecture in confusing terms is exhausting. The pretense to be “animated” by adding a “whew, that was hard” seems fake and dull.

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Haugen Academy Learner
June 6, 2025

Great information! I really enjoyed this course.

Avatar for Jennifer
Jennifer
May 19, 2025

Excellent webinar, thank you.

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Haugen Academy Learner

Response from Haugen Consulting Group

RC_DENIALS

May 14, 2025

You have the best visuals in your webinars.

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Haugen Academy Learner

Response from Haugen Consulting Group

RC_DENIALS

May 8, 2025

Keep going the same way

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Haugen Academy Learner

Response from Haugen Consulting Group

RC_DENIALS

May 6, 2025

I would like to see more ICD-10-PCS coding examples/case scenerios.

Avatar for Haugen Academy Learner
Haugen Academy Learner

Response from Haugen Consulting Group

RC_DENIALS

February 19, 2025

so much great info! Love the breakdown in content! Love love the pup pics! and thank you for making it fun!

Avatar for Haugen Academy Learner
Haugen Academy Learner
January 9, 2025

I LOVE ALL OF THE FUN INTERACTIVE CHALLENGES IN THIS COURSE AND THE PUPPIES WERE SO CUTE

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Haugen Academy Learner
December 11, 2024

Good for coders to review also! 🙂

Avatar for Shay
Shay
August 19, 2024

I especially appreciated the discussion of standardized codes for denials with SO many relevant examples. It helped me see where coding fit into the denials process.

Avatar for Haugen Academy Learner
Haugen Academy Learner
August 14, 2024

The information was good but I do not like presentations that require constant clicking of “next”

Avatar for Haugen Academy Learner
Haugen Academy Learner
July 17, 2024

Love the dog pix!

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Haugen Academy Learner
May 20, 2024

Loved all the dog pictures!

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Haugen Academy Learner
March 15, 2024

Thorough information supplied.

Avatar for Sindhu
Sindhu
January 26, 2024

This was very good information and very usable information

Avatar for Kerrie
Kerrie
January 25, 2024

I REALLY ENJOYED THE DOG PICTURES IT MAKES FOR A MORE ENJOYABLE TIME

Avatar for Haugen Academy Learner
Haugen Academy Learner
January 2, 2024

I have learned so much from all of the courses I have taken, thank you!

Avatar for Jackie
Jackie
December 31, 2023

This was very relatable to my medical billing job.

Avatar for Amanda
Amanda
November 4, 2023

really learned alot about denial through this course

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Haugen Academy Learner
April 28, 2023

Great

Avatar for Haugen Academy Learner
Haugen Academy Learner
April 28, 2023

It would be helpful it all points were spoken.

Avatar for Haugen Academy Learner
Haugen Academy Learner
February 23, 2023

It’s a great jumping off point to understanding the denial process and what can be done to combat those unavoidable ones.

Avatar for Dawne
Dawne
February 1, 2023

Excellent presentation and learning tool! Kept simple, but informative!

Avatar for Elena
Elena
January 21, 2023

Great course to understand denials.

Avatar for Kathy
Kathy

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