Clean Claim Submission: Optimizing Reimbursement

This course provides dental professionals with the knowledge and skills to help ensure error-free claim submissions, allowing them to maximize reimbursement from insurance payors. Participants will delve into the critical elements of a clean claim and learn to avoid common pitfalls that lead to claim denials or delays. The course will cover how to avoid inaccurate or incomplete information on the claim form, as well as dive into common coding errors, and how to avoid them so that offices promptly receive the maximum reimbursement they are owed. Additionally, the course will address the crucial aspect of avoiding insurance fraud by accurately reporting discounts. Attendees will also discover best practices for attaching documentation demonstrating clinical necessity, a critical factor in claim approval. 

Course objectives: 

• Learn the key elements required for clean claims
• Gain an understanding of claim processing statistics
• Understand why claims are delayed or denied
• Avoid insurance fraud by properly reporting discounts to insurance
• Explore best practices for clean attachments documenting clinical necessity

By the end of the course, participants will have the tools to identify and correct errors, ensuring their claims are processed smoothly and efficiently.

Length: 1 HOUR | Credits: 1.0 CE | AGD Code: 550 – Practice Management and Human Relations