Module 05 Assignment – Claim Denial and Rejection

Top of Form

Bottom of Form

Module 05 Content

Top of Form

Imagine you are a Revenue Cycle Consultant. For over the past 3 years, the Revenue Cycle department has been experiencing a decline in reimbursement and revenue integrity because of claim denials and rejections. You have been hired to perform a pre-bill and post-bill analysis to identify trends and opportunities for improvement. You have worked as a consultant for this facility for 6 months, and during this time you were able to come up with the final analysis:

o Incorrect or inadequate codes have been entered

o Missing information (e.g., incorrect or missing social security number)

Directions: Create a Microsoft PowerPoint presentation (no speaker notes required) for the staff. Describe the 2 issues above and provide an explanation as to how the error might have occurred for each issue. For each issue, also describe 2 recommendations on how to avoid these problems. Your PowerPoint presentation should have the minimum of 4 slides including a title and reference slide.

Resource

o Writing PowerPoints

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft PowerPoint presentation. (Mac users, please remember to append the “.pptx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

Bottom of Form