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Claim Denial Management 101: Turn Lost Revenue into Practice Profit

Claim denials are among the most frustrating and costly hurdles in medical practice operations, directly impacting cash flow, staff productivity, and patient satisfaction. In this comprehensive webinar, renowned coding and billing expert Lynn M. Anderanin, CPC, CPB, CPMA, CPPM, CPC-I, COSC will take participants deep into the core of effective denial management strategies. From identifying common denial types to crafting compelling appeals, this session will equip attendees with the knowledge and tools to reclaim lost revenue and prevent future reimbursement issues.

The program breaks down the complexities behind key denial codes—CO, PR, OA, and PI—and connects them to real-world scenarios like modifier misuse, missing documentation, and bundling conflicts. Participants will learn how to decode payer policies, leverage remark codes, and interpret edits from the National Correct Coding Initiative (NCCI), including Medically Unlikely Edits (MUEs) and PTP edits.

More than theory, the webinar walks through practical workflows for tracking and trending denials, introduces methods for building defensible appeals, and emphasizes the role of coders, billers, and posters in a coordinated revenue cycle team. Sample appeal letters and real claim scenarios will be discussed to demonstrate how to advocate effectively for reimbursement—whether due to modifier 22 issues, add-on codes, or contractual misinterpretations.

Don’t miss this opportunity to elevate your denial management process from reactive to proactive and strategic. Discover how data-driven insights and coding precision can turn denials into dollars and enhance the financial health of your organization.

✅ Key Learning Objectives:

Attendees will learn how to:

  1. Identify and decode the most frequent denial codes and remark codes.

  2. Understand the implications of bundling, modifier use, and documentation requirements.

  3. Interpret NCCI edits and Medically Unlikely Edits (MUEs) to avoid preventable denials.

  4. Construct persuasive appeal letters with appropriate supporting documentation.

  5. Apply payer-specific rules and guidelines to avoid non-payment.

  6. Streamline denial tracking and reconciliation using proven workflows.

  7. Collaborate effectively across roles (coders, billers, posters) in managing denials.

  8. Recognize denial trends by payer, diagnosis, or CPT® and implement prevention strategies.

  9. Use sample appeal language to fight unfair down-coding or payment reductions.

  10. Enhance revenue cycle performance with coding integrity and accurate pre-authorization.

🎯 Who Should Attend:

  • Medical Coders and Billers

  • Revenue Cycle Managers

  • Practice Administrators

  • Insurance Verification and Authorization Staff

  • Payment Posters and Denial Resolution Teams

  • Healthcare Compliance Officers

  • 60 Minutes

*Recorded webinar will be send to customer within the 2 working days after the Lve Webinar.

*For more than 6 attendee mail us to support@evothought.com

Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she served as the Director, Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states. Such services included creation of and presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products.

Prior to joining COPIC, she served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States.

Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management.

As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California