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






379 reviews for Revenue Cycle: Introduction to Claim Denials
Great amount of information presented and easy to follow.
great job
Great information, clarified some gaps that I had regarding the billing process
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.
Great information! I really enjoyed this course.
Excellent webinar, thank you.
Response from Haugen Consulting Group
RC_DENIALS
You have the best visuals in your webinars.
Response from Haugen Consulting Group
RC_DENIALS
Keep going the same way
Response from Haugen Consulting Group
RC_DENIALS
I would like to see more ICD-10-PCS coding examples/case scenerios.
Response from Haugen Consulting Group
RC_DENIALS
so much great info! Love the breakdown in content! Love love the pup pics! and thank you for making it fun!
I LOVE ALL OF THE FUN INTERACTIVE CHALLENGES IN THIS COURSE AND THE PUPPIES WERE SO CUTE
Good for coders to review also! 🙂
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.
The information was good but I do not like presentations that require constant clicking of “next”
Love the dog pix!
Loved all the dog pictures!
Thorough information supplied.
This was very good information and very usable information
I REALLY ENJOYED THE DOG PICTURES IT MAKES FOR A MORE ENJOYABLE TIME
I have learned so much from all of the courses I have taken, thank you!
This was very relatable to my medical billing job.
really learned alot about denial through this course
Great
It would be helpful it all points were spoken.
It’s a great jumping off point to understanding the denial process and what can be done to combat those unavoidable ones.
Excellent presentation and learning tool! Kept simple, but informative!
Great course to understand denials.