Denied But Not Defeated: Fixing Common Denials In Pediatric Billing

Denied But Not Defeated: Fixing Common Denials In Pediatric Billing 

Presented by Heidi Chamberlin

Tuesday April 22nd, 2025
9am PT / 10am MT / 11am CT / 12pm ET

This program is scheduled for 60 minutes and is valid for 1 CHBME credit.

Member Price: $49.00
Non Member Price: $99.00

Description:
Claim denials can feel like a never-ending battle, but they don’t have to be. In this session, we’ll break down the most common CARC denial reasons impacting pediatric practices and teach you how to address them effectively. You’ll learn to identify patterns, implement strategies to prevent future denials, and confidently turn rejections into revenue. Packed with practical tips and real-world examples, this presentation will equip you with the tools needed to streamline your billing process, minimize delays, and ensure your practice gets paid what it’s owed. Don’t let denials stand in the way of your financial success—join me to take charge of your collections process!

Learning Objectives:
Course participants will be able to:

1. Interpret CARC codes to identify patterns of denials and estimate their financial impact on pediatric practices.
2. Apply best practices to locate root causes of claim denials and develop strategies for successful appeals.
3. Evaluate payer policies and recommend proactive measures to reduce denial rates and optimize revenue cycle management.
4. Construct effective appeal letters using payer guidelines and prepare documentation to support claim reconsiderations. 

Speaker Bio:
Heidi Chamberlin is a dynamic healthcare leader with over two decades of experience in medical billing and revenue cycle management. As one of the co-founders of SweetPea Solutions, she specializes in pediatric billing, helping practices streamline operations, reduce claim denials, and maximize revenue. With a deep understanding of billing regulations and practice management, Heidi excels at consulting, offering tailored strategies to improve financial performance and operational efficiency.

A seasoned speaker, Heidi has shared her expertise at numerous industry events, including Women in Pediatrics, The Pediatric Management Institute, PCC User’s Conference, multiple state AAP conferences, and previously has spoken at the NCPeds Practice Managers Retreat. She has also presented at various other healthcare events, where she provides actionable insights to help providers navigate the complexities of medical billing. Passionate about advocacy and education, Heidi is committed to empowering pediatric professionals with the tools they need to succeed.