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Get Claims Paid Faster: Proven Appeal Template for Denied Claims

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Learning how to draft an appeal letter is very crucial that it saves your time and you can recover significantly more revenue from your denied claims with a few simple changes to your appeals process. Even if you have an active claim dispute process in place right now, experts agree that there is underlying money just waiting to be collected. This webinar will help you understand how to get your claims paid once you receive a denial. Be sure to have workflows in place to understand the claims cycle and appropriately submitting the right information the first time. Not all payers are created equal. It’s up to you to know the information required so payments can be overturned without a second or third submission.

Learning Objectives:
  • Creating a workflow for claims processing once EOBs are received
  • Understanding the claims codes when there are denials and requested for additional information for payment
  • Reduce initial denials by knowing your contract parameters and be sure to know your contractual obligations when posting denials outside of the electronic remittance
  • Establish workflows for all claims and have dedicated individuals to your revenue cycle
  • Major components of successful appeal letter to improve payments
  • Understand the payers rules and guidelines
Areas Covered in the Session:
  • Denial vs. Rejection
  • Posting the payment when payments are received will reduce second and third appeals
  • Payments and electronic remittance advice
  • Verifying all coverage prior to the patient coming to the office for appointment
  • Revenue cycle process
  • Contractual obligations and know when and how a COB can create denials
  • When to appropriately transfer to the patient for payment
  • Key components of a successful appeals letter template
  • Get more claims overturned with effective appeal language
  • Federal and state supporting guidelines
  • Identify “no-win” appeal situations and stop wasting your time
  • EOB underpayments and down-coding
  • Appeal deadlines and understand hidden payer filing rules
  • Train your front desk staff for accurate information
  • Live Q&A Session
Suggested Attendees:
  • Physicians and Non-Physician Practitioners
  • Qualified Health Care Professionals
  • Coders
  • Billers
  • Auditors
  • Nurses
  • Practice Managers
  • Medical Officers
  • Compliance Officers
  • Clinic Managers
  • Insurance Company Claims Reviewers
  • Insurance Payers
  • Payment Policymakers
  • Denial Resolution Team
Presenter Biography:

Maya Turner CPC, CPMA, CPCO, CPC-I, AAPC Approved Instructor, has nearly 30 years of experience in revenue cycle management, coding compliance and education. Maya’s dynamic teaching style and unparalleled expertise will undoubtedly enrich the learning experience for our participants, ensuring a comprehensive and engaging educational journey. A seasoned certified coder and auditor, boasting of nearly 30 years of experience and subject matter expert to many coding compliance subjects, she especially is sought after for her in depth knowledge base of pro fee multi-specialty practice, primary care, hospitalists, telehealth, inpatient, as well as SNF. She is also a published author having written articles for AAPC and HCCA, and currently is a part of the ACDIS Leadership Council. She’s scheduled to speak at such venues as HealthCon, and HCCA’s Compliance Institute.

She showcases her unmatched three-dimensional thinking in complex subject matters, Maya’s success is marked by her clear and well received presentation style, reflecting her profound understanding and expertise. Maya also has a consulting service called Turner Expert Consulting Services, LLC. This venue allows her to assist other entities and provide training and expertise outside of her current employer. It’s with this, bringing her great joy to assist others in any way she can.


Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

  • Internet Speed: Preferably above 1 MBPS
  • Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com


This is a Live Virtual session.

A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.


Purchase Order Form – Click Here to download PO form.


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Frequently Asked Questions:

HOW MUCH TIME DOES IT TAKE TO RECEIVE THE DVDs/ FLASH DRIVE? +

For DVDs/ FLASH DRIVE – It will take around 7 working days.

CAN I PLACE AN ORDER ON CALL? +

Yes, you can call our toll-free number 302-444-0162 and ask our representative for the enrollment. Alternatively, you can also mail us at care@skillacquire.com.

CAN I PURCHASE ANY OF YOUR TRAINING FORMATS, AT ANY TIME? +

For DVDs/ FLASH DRIVE – Yes, you can place the order at care@skillacquire.com using the order brochure or can call us at our toll-free number 302-444-0162.

DO I REQUIRE A COMPUTER FOR ATTENDING A LIVE COURSE? +

The system requirements are quite basic: OS: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6 Internet Speed: Preferably above 1 MBPS Headset: Any decent headset and microphone which can be used to talk and hear clearly, in case of live course you can raise questions using a microphone.

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Please share your detailed CV with us and our team will screen the best faculty for the specific field.

HOW CAN I GET ACCESS TO THE LIVE TRAINING? +

You can access the live training using Joining Link or Dial-In Number. To get the joining link, you can click on the conference materials on the product description page, and enter your email address and password that you received in your email.

We will also send you the joining link or dial-in number to the registered email address 2-3 days prior to the live training. You can simply click the joining link to join the live training.

HOW CAN I MAKE A BULK PURCHASE? +

You can call our customer service department at 302-444-0162 and may also avail some discounts on the bulk orders.

WHAT’S THIS DIFFERENT FORMAT? +
  • Live (One Attendee) – Only 1 person will be able to join the webinar
  • Live (2 to 4 Attendees) – Upto 4 persons are allowed to join the webinar
  • Live (5 to 10 Attendees) – Upto 10 persons are allowed to join the webinar
  • On-Demand Recording (One Attendee) – Webinar recording link will be provided for a single attendee
  • On-Demand Recording (Multiple Attendees) – Webinar recording link will be provided that can access by more than one person
  • DVD – DVD will be shipped physically to the address provided
  • Flash Drive – Flash drive will be shipped physically to the address provided
  • Live + DVD – This allows you to attend live webinar plus you also get DVD shipped to the address provided
  • Replay + FLASH DRIVE – Allows you to get webinar recording link plus you also get DVD shipped to the address provided
  • Live + REPLAY + DVD – This allows you to attend live webinar plus you also get webinar recording to your email and DVD shipped to the address provided
WHAT CERTIFICATION DO I GET POST THE TRAINING? +

After successful completion of the training, you will be awarded the course completion certificate (on request). The certifications/ recertifications should be mentioned under the description of every course.

TESTIMONIALS

“This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course.”
Melissa Preston, Health Information Management Staff
“David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN”
Sandie Fowler, Out of Network Billing Staff
“Great presentation. Able to do during the day. Timing was great.”
Tina Duffy, Compliance Officer

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