Claim denials are an unavoidable part of every medical practice — but they don’t have to drain resources, disrupt workflows, or undermine patient trust. Denials are costly, time-consuming, and often frustrating for staff, especially when a single account can encounter multiple layers of issues—from front-end edits to clearing house rejections to payer-level EOB/ERA denials.

This session will equip your team with the knowledge and confidence needed to take control of the denial process. Attendees will learn how to identify where denials originate, understand the capabilities of their billing software and clearinghouse, and recognize the specific indicators that signal preventable issues.Our expert speaker will break down the three major categories of denials in clear, actionable detail—where they occur, how to interpret them, and what steps to take to eliminate them.

You’ll also gain an in-depth look at the industry’s top 10 most common denials, simplified into their core causes and paired with proven, repeatable processes to prevent them from recurring. Imagine reducing—or even eliminating—your most frequent denials altogether. While prevention requires thoughtful front-end effort, the payoff is substantial. Once clear policies, workflows, and training are in place, practices see dramatic improvements in efficiency, accuracy, and overall revenue cycle performance.

Don’t miss this must-attend course. If denials are impacting your financial health, this session will give your team the tools, strategies, and confidence needed to lower your denial rate and elevate your revenue.

Learning Objectives:

Give a brief overview of the problem area/s this session is going to address and the solutions to be provided

• Medical practices face a constant battle with claim denials—often caused by front-end errors,clearinghouse rejections, and payer-level EOB/ERA issues. These denials are expensive, slow down cash flow, burden staff, and can even damage patient trust. Many practices struggle because they don’t fully understand where denials originate, how to interpret them, or how to prevent them before they occur.
• This session provides practical, actionable solutions by breaking down the three major types of denials and teaching attendees how to identify, analyze, and correct issues at each stage.
• Participants will learn how to leverage their billing software and clearinghouse more effectively, implement preventive workflows, and adopt proven strategies to eliminate the industry’s top 10 most common denials.
• By the end of the session, your team will have the tools and processes needed to reduce preventable denials, strengthen front-end accuracy, and dramatically improve overall revenue cycle performance.

Session Agenda :

Step wise flow of session to help audience understand what pain areas will be covered

1. Understanding the Denial Landscape
   We begin by outlining the most common sources of claim denials—front-end errors, clearing house rejections, and payer-level EOB/ERA issues—to provide a clear picture of where revenue loss begins.
2. Identifying Front-End Breakdown Points
   Next, we examine the pain areas at patient registration, eligibility verification, and data entry that often trigger preventable denials. Attendees will learn where to look and what mistakes typically go unnoticed.
3. Navigating Clearinghouse Rejections
   The session then covers how clearinghouses filter claims, why rejections occur, and how to interpret rejection messages to quickly resolve issues before they reach the payer.
4. Decoding Payer Denials (EOB/ERA)
   We move into a detailed review of payer-generated denials—what they mean, how to read them accurately, and how they differ from earlier rejection types. Participants will learn how to pinpoint root causes instead of treating symptoms.
5. Deep Dive: Top 10 Industry Denials
   Attendees will explore the most frequent denials affecting practices nationwide. Each denial type will be broken down into:
   • Why it happens
   • What signs to watch for
   • What steps prevent recurrence
6. Leveraging Software & Clearinghouse Tools
   We will highlight underutilized features in practice management systems and clearinghouses that can automate alerts, flag errors, and reduce manual work.
7. Building Preventive Workflows
   This section focuses on creating front-end and mid-cycle processes that reduce denials before they occur. Attendees will see real-world examples of workflows that drive measurable improvement.
8. Actionable Solutions & Implementation Tips
   The session concludes with ready-to-use checklists, training suggestions, and process templates designed to boost accuracy, streamline staff workload, and improve financial outcomes immediately.

Session Highlights:

• How to distinguish between front-end edits, clearinghouse rejections, and payer-level denials—and why understanding these differences is essential.
• The most common front-end mistakes that lead to unnecessary denials and how to prevent them before claims are submitted.
• How to interpret clearinghouse rejection messages and quickly resolve them to avoid delayed payments.
• How to read and analyze EOB/ERA denial codes to identify true root causes rather than surface-level symptoms.
• A breakdown of the top 10 denials nationwide and the exact steps to prevent each one from recurring.
• How to use your billing software and clearinghouse tools more effectively, including features that automate error detection.
• Proven workflows and process models that dramatically reduce denials when implemented consistently.
• Strategies for training and aligning your team so everyone understands their role in preventing denials.
• How to track denial patterns and trends to identify systemic issues before they become major revenue problems.
• Practical checklists and templates your team can use immediately to improve claim accuracy and strengthen your revenue cycle.

Who will Benefit

• Office Management/Administration Billing managers
• Billers
• Coders
• Support staff
• Front desk staff

Speaker Profile

Stephanie is the founder and owner of Elite Coding and Billing LLC. She brings a distinctive blend of clinical expertise, revenue cycle knowledge, and business acumen that enables her to connect effectively with clinicians, administrators, and coding and billing professionals alike.

With over 11 years of experience in pain management and 10 years in orthopedics, Stephanie has worked in both small and large private practice settings. Her background also includes extensive work with hospital-based providers, ambulatory surgery centers, and a variety of additional specialties, giving her a broad and comprehensive understanding of diverse healthcare environments.

Stephanie is committed to helping organizations optimize revenue cycle processes through accurate coding, efficient billing practices, and strategic operational insight. She resides in Riverton, Utah, where she enjoys spending time with her family.