Format: On demand
Duration: 200 Mins
Instructors: Coral MED
Learning Credits: 0.2 CEU
*This course was updated on Jan 01, 1970.
0.2
1. Describe the key steps in a systematic denial management process. 2. Identify the types of denials that are eligible for appeal and the supporting documentation required. 3. Explain the timelines and requirements for submitting payer appeals. 4. Demonstrate how to categorize, track, and resolve denied claims using standard workflows. 5. Draft a compliant and persuasive appeal letter using payer-specific criteria. 6. Interpret denial codes and remittance advice to determine appeal strategy. 7. Apply denial resolution best practices to maximize reimbursement recovery and reduce write-offs.
By the end of this course, participants will be able to: Define the process and importance of payment posting and reconciliation. Accurately post payments and adjustments based on remittance documentation. Identify and resolve payment discrepancies through reconciliation procedures. Apply variance analysis to detect underpayments and revenue leakage. Ensure compliance with audit standards and financial reporting requirements. Contribute to revenue accuracy and financial performance through precise reconciliation practices.
1. Basic understanding of medical billing, claims adjudication, and financial reporting. 2. Familiarity with electronic remittance systems (ERA/EOB) is helpful but not required.
Follow Coral Plus LMS policies: participation, integrity, respectful conduct, HIPAA/privacy adherence, timely completion of assessments. 1. Participants should register in advance to receive access details. 2. Access links and passwords, if applicable, should be provided securely to registered participants. 3. Participants are encouraged to join the webinar a few minutes early to resolve any technical issues 4. Participants are responsible for ensuring a stable internet connection, compatible devices (computer, tablet, or smartphone), and recommended browsers. 5. A microphone and webcam may be required for interactive sessions. Please test your audio and video settings in advance. 6. The webinar may be recorded for educational purposes. 7. Recorded sessions may be shared with registered participants after the webinar. 8. Please be mindful not to share personal or confidential information during the webinar. 9. A detailed agenda will be provided, and each session will adhere to the schedule to cover all planned topics. 10. Time will be allocated for Q&A sessions and discussions. 11. A helpdesk or contact information for technical support will be provided during the webinar. 12. Common technical issues will be addressed at the beginning of the session. 13. Relevant resources, such as presentation slides or additional reading materials, will be shared after the webinar. Proprietary Interest Policy: It is the policy of Coral MED that if instructors have a vested interest in any product, instrument, device, or materials that may be used in the learning event, they must disclose this interest. Further, if the instructors receive any share of the royalties or profits from the product promotion or endorsement, the interest must be disclosed to the learner. If there are any breaches of this policy, please contact Coral MED at +1 (808) 913-7979 OR send an email to compliance@coralmed-inc.com Anti Discrimination Policy: Coral MED is committed to providing work and learning environments free of sexual or any form of unlawful harassment or discrimination. Harassment or unlawful discrimination against individuals on the basis of race, religion, creed, color, national origin, sex, sexual orientation, gender identity, age, ancestry, physical or mental disability, medical condition including medical characteristics, marital status or any other classification protected by local, state or federal laws is illegal and prohibited by Coral MED policy. If there are any breaches of this policy, please contact Coral MED at +1 (808) 913-7979 or send an email to compliance@coralmed-inc.com 6) Privacy & Data Protection Policy Coral MED values the privacy, security, and integrity of your learner records. Your information is managed in accordance with Policy CM012 – Learner Records Privacy and Data Security Policy, which complies with applicable data protection laws and accreditation standards.How to Request the Release or Correction of Your Records If you wish to obtain, release, or correct your learner records, please follow these steps: 1. Submit a written or electronic request to: elearn@coralmed-inc.com ↗ . 2. Include your full name, learner ID, and specific request type (e.g., transcript, name correction, verification letter). 3. Requests are processed within 10 business days of verification. 4. You will receive an email confirmation once your request has been fulfilled. Notification of Record Availability Upon completion of a learning event, Coral MED notifies learners via email when official records (e.g., transcripts, certificates, or CEUs) are issued or available for download within the LMS. You may review the full policy at any time by visiting:. View Policy ↗
This course is suitable for: 1. Revenue cycle and finance professionals responsible for payment posting and reconciliation. 2. Payment posting specialists and reimbursement analysts focused on financial accuracy. 3. Healthcare accountants and financial managers overseeing revenue reporting. 4. Students and early-career professionals pursuing careers in healthcare finance or accounting operations.