2026 Catalog: General Courses

This course is part of the EDR STAR Billing Series and focuses on managing denied claims and submitting appeals. Participants will learn how to identify denial reasons and implement corrective actions.


"Common Denial Reasons
Typical reasons claims are denied
Denials vs rejections

Denial Workflows
Review and work denied claims
Documenting follow-up actions

Correcting Claims
Correct denied or rejected claims
Resubmit corrected claims

Appeals Process
Submit an appeal vs. correction
Track appeal status and outcomes

Documentation Requirements
Required supporting documents
Keep records of all actions taken"

"Identify two [2] common reasons for claim denials.
"
"List three [3] claim details that may need to be corrected to resolve a denied claim.
"
Name two [2] supporting documents that can be attached to claims.

Theresa Romero — For follow-up questions, please contact the speaker at theresa.romero@aol.com.

The speaker has no conflicts of interest to report.

It is the policy of the Indian Health Service, Division of Oral Health, that faculty/planners disclose any financial or other relationships with commercial companies whose products may be discussed in the educational activity. The Indian Health Service, Division of Oral Health, also requires that faculty disclose any unlabeled or investigative use of pharmaceutical products and medical devices. Images that have been falsified or manipulated to misrepresent treatment outcomes are prohibited.

None of the faculty/planners for this activity has a conflict of interest, and there is no use of unlabeled or investigative pharmaceutical products or medical devices. No images have been falsified or manipulated to misrepresent treatment outcomes.The educational objectives, content, and selection of educational methods and instructors are conducted independent of any commercial entity.

The IHS Division of Oral Health is an accredited sponsor of continuing education under the American Dental Association Continuing Education Recognition Program (CERP). ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the IHS at IHS CDE Coordinator or to the Commission for Continuing Education Provider Recognition at CCEPR.ada.org

None

Please Make Checks Payable to: Indian Health Service.

Tuition must be paid in full 8 weeks prior to the start date of any course. Request for refunds must be received in writing at least two weeks before the course begins. For each refund request, there will be an administrative charge of $100. No refunds will be made to registrants who fail to attend a course. If IHS CDE program cancels a course, then 100% of the tuition will be refunded.