This course addresses the latest trends and challenges in medical coding and documentation, with a special emphasis on strategies to reduce insurance denials and optimize revenue cycle performance.

Suggested Audience: Provider-based clinic managers, leaders, administrators, physicians, operations staff, billing, coding, reimbursement, as well as clinic quality and compliance staff.

Upon completion of this training, you should be able to:

• Identify effective strategies to minimize insurance denials through targeted pre-bill audits and front-end processes.
• Recognize common patterns in DRG denials to support timely, targeted appeals using standardized response templates.
• Define inpatient documentation practices that accurately capture severity of illness and support appropriate DRG assignment.
• Describe best practices for aligning workflows between providers, CDI specialists, and coders to reduce denial risk and rework.

Find this course in our School of Coding & Documentation.