Revenue Cycle Compliance and the OIG (US)
Healthcare organizations need to have employees that are knowledgeable of the laws and regulations that pertain to them and ensure the revenue cycle is in compliance.
Healthcare organizations need to have employees that are knowledgeable of the laws and regulations that pertain to them and ensure the revenue cycle is in compliance.
Patients across the United States have been receiving telehealth services since the early 2000s. Due to the Coronavirus CMS made significant changes to what it would pay for when it comes to telehealth services. This course explains telehealth changes and how medical practices should be billing for them to receive reimbursement.
In 1992, the American Medical Association (AMA), along with CMS, introduced a coding system to standardize charges for patient care. This course explains the new changes, why they were made, and how they will affect medical practices.
This course identifies how Patients access care in the hospital.
This course identifies patient intake methods utilized at the hospital.
When employees understand what the Federal Register is and how it’s updated, it raises awareness about the regulations governing healthcare and the importance of revenue cycle compliance.
This course will teach you about each of these facets of revenue cycle compliance and further develop your understanding of the importance of adhering to government rules and regulations.
This course will take you through the history of consents and give you an understanding not only of why the practice began, but also of important information such as which items are typically covered in a consent.
This course identifies healthcare customers and methods of interaction and communication.
This course introduces two healthcare coding systems: ICD-9-CM, which is used to describe diagnosis and procedures; and HCPCS, which is used to describe procedures, tests and supplies.
This course introduces the definition of reimbursement, methods of calculating reimbursement, and the reimbursement puzzle.
This course was created to heighten awareness of federal enforcement agencies that work to identify and eliminate fraud and abuse.
This course introduces the denial management process, including common types of payment denials, methods of monitoring and tracking payment denials, and the impact payment denials have on the financial success of the hospital.
This course introduces you to the RAC program so you understand its purpose as well as the relationship between the RAC program and the revenue cycle.
This course introduces the revenue cycle of a Patient, departments, and players in the revenue cycle, third-party payers, the types of bills sent, revenue cycle tools, methods of payment, the importance of compliance, and what HIPAA means.
This course introduces common healthcare terms, abbreviations, and acronyms associated with revenue cycle processes.
This course introduces how payers are identified and verified during the patient intake process.
This course introduces the relationship of the data captured and entered into a Patient’s account at the time of patient intake to the production of a clean UB-04 claim form.
This course introduces the computer systems utilized to generate paper and electronic bills.
This course introduces how to prepare for your presentation and the key components of a presentation. It will also review several tips and techniques that can help you become a more effective presenter.
In this course you’ll learn an effective approach to addressing performance issues and learn how to follow-up after feedback discussions.
This course is designed to help managers spot and address employment law issues in their workforce. Given the recent statistics showing an increasing number of discrimination charges and lawsuits, it’s essential now, more than ever, to pay close attention to these issues to minimize liability and litigation risks for your employer.
This course helps you be more professional and effective in your email communications.
For the first time in history, we have five generations in the workforce. Each generation brings various motivators, communication styles, and work values. This course introduces strategies for creating a generation-friendly work environment.
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