The average claim denial costs upwards of $30 to appeal, which can amount to a six-figure annual spend for some healthcare organizations. Consider the added cost of write-offs and you can understand why provider organizations prize medical billers with exceptional denial resolution skills. How would you rate your ability to effectively and efficiently work a denial?
Learn how to play a significant role in optimizing your office’s revenue cycle in our online Denial Resolution and Management Course. You will gain proficiency in tracking claim judgments, understanding types of denial and the steps to resolve them, along with key aspects of the revenue cycle.
Education and experience requirements
Completion of a medical billing certificate course, or one year of billing/pro-fee coding experience recommended.
CEUs
10 CEUs awarded upon completion (one-time use only).
Course syllabus
Required books
AAPC’s Denial Resolution (included with course)
AMA CPT® Professional Edition (current year)
ICD-10-CM code book (current year)
Course format
This is an online self-paced instruction course. You get the flexibility to complete the course on your own time, at your own pace with on-demand training. Get the help you need from the certified coaching team at any point in your training via email.
Exam format
35 multiple-choice questions completed within 75 minutes. Questions are based on coding cases from real world, redacted records.
Certificate of completion
Certificate issued upon completion with a 70% passing score.
The Denial Resolution and Management Course is for medical billers or any other healthcare business professionals looking for the most up-to-date information related to billing and claim denials.
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)
Identify common denials and steps to resolve the denials
Reading assignments: Revenue Cycle for the Medical Office, CMS 1500 & EOBs, and Denial Resolution
Case studies for practical application of denial resolution
Interactive lectures: Healthcare Revenue Cycle Overview, CMS-1500 Claim Form, and Denial Resolution
AAPC’s Denial Resolution (PDF format)
Denial resolution final assessment
Certificate upon successful course completion
By purchasing any online course and other items, I certify that I have read and agree to the online course terms and conditions and the refund policy.
Date of purchase is considered your course start date, additional time will be given for processing of your order. After your order is processed, you will receive further email instruction for course access.
This online course must be completed within a 1-year period or less from date of purchase. Additional time extensions may be purchased for a monthly fee. Date of purchase is considered your course start date. After your order is processed you will receive further email instruction on course access.