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Denial Resolution

This online course is designed for billing professionals working denials from insurance carriers. Students will learn the process to review the revenue cycle for the medical office and how mistakes throughout the revenue cycle create denials. Proper completion of the CMS-1500 claim form and the 837p electronic equivalent are discussed along with a review of clearinghouse reports and explanation of benefits (EOBs). Common denials are discussed in detail outlining the steps taken for resolution of the denial.

This course includes:

  • Review of the revenue cycle for the medical office
  • Proper claims completion for the CMS-1500 claim form
  • Review of clearinghouse reports and explanation of benefits (EOBs)
  • Common denials and steps to resolve the denials
  • Case Studies for practical application of denial resolution
  • Interactive Lecture: Healthcare Revenue Cycle Overview
  • Interactive Lecture: CMS-1500 Claim Form
  • Interactive Lecture: Denial Resolution
  • Denial Resolution Final Assessment
  • Approval for 10 CEUs upon successful completion towards CPC, CPC-P, CPB, CPMA, CPPM, and Specialty Credentials except CIRCC and CASCC (one-time use only)
  • Access available for one (1) year from purchase date

Final Assessment:

  • 35 Questions
  • Multiple choice
  • Denial cases from real-world examples
  • Must be completed within 75 minutes
  • 70% passing score required
  • Two attempts are allowed

Denial Resolution



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Highly Recommended

  • Completion of a professional coding course, or 1 year of ProFee coding experience recommended as a prerequisite.

Required Code Books

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By purchasing any online course and other items, I certify that I have read and agree to the online course Terms and Conditions, the Course Requirements, and the Refund Policy.

This online course must be completed within a 1-year period or less from date of purchase (additional time extensions may be purchased for $29.95 per month). Date of purchase is considered your course start date. After your order is processed you will receive further email instruction on course access.

By purchasing any online course and other items, I certify that I have read and agree to the Refund Policy