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.



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

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

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, CIC, CPB, 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
  • Visit our FAQ page for technical requirements and additional details.

126 reviews for Revenue Cycle: Introduction to Claim Denials

  1. Haugen Customer

  2. Haugen Customer

  3. Haugen Customer

  4. Haugen Customer

  5. Marianne

  6. Haugen Customer

  7. Antoinette

  8. Haugen Customer

  9. Debra

  10. Haugen Customer

  11. Haugen Customer

  12. Haugen Customer

  13. Stephen

  14. Carolyn

    this was a great course for a person unfamiliar with claims information. It was great!!!

  15. Haugen Customer

  16. Karlie

  17. Haugen Customer

  18. Haugen Customer

  19. Haugen Customer

  20. Haugen Customer

  21. Tommy

  22. Colleen

  23. Haugen Customer

  24. Haugen Customer

  25. Robin

  26. Haugen Customer

  27. Haugen Customer

  28. Melissa

  29. Patricia

  30. Tari

  31. Haugen Customer

  32. Jacqueline R.

  33. Michele

  34. Haugen Customer

  35. Diana

    excellent course in bridging knowledge for coders

  36. Patricia

  37. Haugen Customer

  38. Ruth

  39. Haugen Customer

  40. Diana

  41. Erin

  42. Haugen Customer

  43. Haugen Customer

  44. Haugen Customer

  45. Haugen Customer

  46. Haugen Customer

  47. Haugen Customer

  48. Haugen Customer

  49. Deborah

  50. Telena

  51. Maridol

    I enjoyed studying this course. Loved the pace, visual, audio presentation with the intermittent questions to test comprehension. I also appreciate the opportunity to come back to it for review.

  52. Teresa

  53. Teresa

  54. Patricia

    This course is just an overview of the subject, not a detailed instruction course on billing office procedures.

  55. Haugen Customer

  56. Jasmine

  57. Haugen Customer

  58. Haugen Customer

  59. Haugen Customer

  60. Paul

  61. Jodi

  62. Haugen Customer

  63. Connie

  64. Haugen Customer

  65. Kristin

  66. Kristen

  67. Melissa

  68. Haugen Customer

  69. Haugen Customer

  70. Haugen Customer

  71. Haugen Customer

  72. Kim

  73. Stephanie

  74. Haugen Customer

  75. Susan

  76. Cathleen

  77. Cathleen

  78. Haugen Customer

  79. Teresa


  80. Haugen Customer

  81. Beatriz

  82. Renee

  83. Kelsy

  84. Haugen Customer

  85. Haugen Customer

  86. Haugen Customer

    I was expecting more detail and a lengthy course/lessons. I did learn some new things but don’t feel like I progressed to a higher level.

  87. Haugen Customer

  88. Haylee

  89. Yolanda

    Thank you. I truly enjoyed this course

  90. Michelle

  91. BECKY

  92. Haugen Customer

  93. Haugen Customer

  94. Kimberly

  95. Kathy

  96. Lynn

  97. Lacie

  98. Renika

    Thank you for this course!!

  99. Katherine

  100. Haugen Customer

  101. Ehinome

  102. Jodi

  103. Valerie

  104. Haugen Customer

  105. Leah

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

  106. Haugen Customer

  107. Haugen Customer

  108. Haugen Customer

  109. Haugen Customer

  110. Haugen Customer

  111. Haugen Customer

  112. Danielle

  113. Haugen Customer

  114. Jameeka

  115. Vicki

  116. Liz

  117. Jackie

  118. Haugen Customer

  119. Mikaela

  120. Stephanie

  121. Haugen Customer

  122. Jill

  123. Kendra

  124. Rhonda

  125. Nicole

  126. Laverne

    Good Knowledge base to have very clearly presented

Add a review

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