Recoup lost time and revenue with denials management and appeals know-how.
Claim denials can sink a profit margin. And given the cost of appeals, roughly $118 per claim, not all denials can be reworked. A practice submitting 50 claims a day at an average reimbursement rate of $200 per claim should bring in $10,000 in daily revenue. But if 10% of those claims are denied, and the practice can only appeal one, they lose $800 per day—upwards of $200K annually.
Your medical claims are the lifeblood of operations. Don’t compromise your financial health. Learn how to preempt denials with the Denials Management & Appeals Reference Guide.
This vital resource will equip you to get ahead of payers by simplifying the leading causes of denials and showing you how to address insufficient documentation, failing to establish medical necessity, coding and billing errors, coverage stipulations, and untimely filing.
Rely on AAPC to walk you through the appeal process. We’ll help you establish protocols to avoid an appeals backlog and teach you how to identify and prioritize denials likely to win an appeal. What’s more, you’ll learn when a claim can be “reopened” to fix a problem.
Collect the revenue your practice deserves with effective denials and appeals solutions:
- Know how to analyze your denials
- Defeat documentation and compliance issues for successful claims success
- Utilize payer policy for coverage clues
- Lock in revenue with face-to-face reimbursement guidance
- Refine efforts to avoid E/M claim denials
- Ace ICD-10 coding for optimum reimbursement
- Put an end to modifier confusion
- Stave off denials with CCI edits advice
- Navigate the appeals process like a pro
- And much more!
IMPORTANT NOTE: If you already have the first edition of a Medical Reference Guide, the updates to the second edition are very minimal. These editions are intended for first-time buyers.
With certain exceptions, products purchased from AAPC may be returned for a refund. Products must be submitted for a return within 30 days from the purchase or shipment date to be eligible for a refund. They must also be unopened and in resellable condition. Returned products are subject to a $5 restocking fee per item. Shipping charges are nonrefundable. Refund requests may be submitted in writing or verbally to AAPC.
Product-specific Return Policies
Refunds will not be issued for AAPC Membership, exams, webinars, or On Demand events.
Due to immediate electronic access, refunds or extension will not be issued for Online Practice Exams and Online Area of Study
Workshop registration is refundable, if you cancel at least one week prior to the workshop you may receive a refund less the $25 cancellation fee. In the event that a cancellation is received less than one week prior to the workshop, no refund will be given. You may transfer your registration to the on-demand version of the workshop or you may have a credit for a future workshop.
Conference registration is refundable, with varying fees and deadlines. See the specific conference web page for further details. Hotel cancellations are also subject to varying fees and deadlines; the specific conference web page will have further details for hotel cancellations as well.
Distance Learning online courses may be cancelled for a full refund within three days after the date of purchase, provided that the student has not accessed the online course, and course materials and books are returned unopened and in good condition to AAPC. After three business days, course cancellations are subject to a $50 cancellation fee per course, in addition to any fees for course materials/books that are not returned to AAPC, or are returned opened or used. Refunds will not be issued for any course that has been accessed, viewed, or partially completed, and no refund is available for any course after 30 days from the purchase date. Course refund requests must be submitted in writing to AAPC for review and consideration. No refunds will be issued for course extensions. Distance Learning courses are for individual use only and are nontransferable.
E/M Online Training, and Online Exam Reviews that have not been accessed are refundable within 30 days of purchase date. No refund will be issued on any exam or training/review tool that has been accessed, viewed, or partially completed.
Refunds will not be issued for AAPC Membership, exams, webinars, or On Demand events.:
Due to immediate electronic access, refunds or extension will not be issued for Online Practice Exams and Online Area of Study
Returning an individual book that was purchased in a bundled package will invalidate the bundled discount. All the books in the bundle will revert to their regular prices and the remaining cost of the unreturned books will be subtracted from the refund.
eBook cancellations will be accepted only if the return request is made within 5 working days of placing the order. If the redemption codes are applied to access the eBook, refunds will not be processed.
Codify is not refundable, you may terminate your subscription or free trial by contacting AAPC via phone or email. To ensure that your credit card does not get charged, please make your cancelation request at least two business days prior to the end date of your subscription or free trial term.
Practicode may be cancelled for a full refund within 30 days of the date of purchase, provided the Client has not completed any exercises within the modules and/or assessments.
Reseller/Wholesaler Policy
Shipments must be securely packaged and in resalable condition through a carrier providing tracking information. AAPC will review and confirm returned products upon return. Credit to the account, minus applicable fees, will be posted once the audit is complete.
Upon receipt of your organization’s return requests, AAPC has the right to authorize and accept returns the following month, due to allocations of warehouse personnel to adequately process returns.
A $5 restocking fee will be applied to each item returned.
Annual books: Return of AAPC products will be accepted for full credit until September 30 of that version's year. Resellers/bookstores must complete returns within 90 days of purchase. Returns of AMA’s CPT® codebooks will be accepted for full credit until June 30 of that versions year.
