Navigating through Claim Denial Codes and Effective Appeal Writing - On Demand Bundle

This 90-minute webinar provides resources and tools to assist OMSs and their coding staff in achieving maximum reimbursement for services rendered. The webinar will focus on denial management and the information and actions necessary to reach claim adjudication as well as how to identify missing or insufficient components in the revenue cycle process.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Review an explanation of benefits or remittance advice for interpretation.  
  2. Identify Claim Adjustment Reason Codes and Remittance Advice Remark Codes.  
  3. Determine the action necessary for claim adjudication. 
  4. Apply extraction of pertinent information from the provider documentation.
  5. Compose an effective appeal letter.


An Internet-based CDE/CME Activity
Original Release Date: September 15, 2021
Expiration Date: September 15, 2024
Estimated time to complete this educational activity: 1.5 hours
Method of participation: Self-Study

Susan Roskos, CPC, CPPM

Susan Roskos’ experience includes auditing, billing, coding, EHR implementation, practice operations management and revenue cycle management. She serves as a remote coding specialist for Guidehouse and an occasional webinar presenter for the American Academy of Professional Coders (AAPC). As a former small business owner, she specialized in consulting for medical practices through analyzing processes, auditing data and providing outsourcing opportunities. Ms. Roskos has been a Certified Professional Coder (CPC) since 1997, earned additional credentials as a Certified Physician Practice Manager (CPPM) in 2013 and holds a Certificate of ICD-10-CM Proficiency through AAPC.   

Relevant Conflict of Interest Disclosure: No Relevant Conflict of Interest Disclosures were reported.    

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.5 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
5 Questions  |  1 attempt  |  0/5 points to pass
5 Questions  |  1 attempt  |  0/5 points to pass
Navigating through Claim Denial Codes and Effective Appeal Writing
Open to view video.
Open to view video.
Post-Quiz
5 Questions  |  Unlimited attempts  |  3/5 points to pass
5 Questions  |  Unlimited attempts  |  3/5 points to pass
Evaluation
11 Questions
Certificate
1.50 CDE/CME credits  |  Certificate available
1.50 CDE/CME credits  |  Certificate available