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Category: Biller & Coder

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In this course you will learn to define contract and identify the essential elements of a valid contract. It will also enable you to understand the meaning of lawful purpose; distinguish between unilateral...
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In this course you will learn to define contract and identify the essential elements of a valid contract. It will also enable you to understand the meaning of lawful purpose; distinguish between unilateral and bilateral contracts; state who can be a party to a contract; and define the legal concept of apparent authority.
In this course you will learn to define contract and identify the essential elements of a valid contract. It will also enable you to understand the meaning of lawful purpose; distinguish between unilateral and bilateral contracts; state who can be a party to a contract; and define the legal concept of apparent authority.
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Produced by: HCCS - Retail Only
In order to understand what a contract is, it is helpful to learn how one is structured so you are better equipped to find your way around the document. This course will explain the standard structure used in...
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In order to understand what a contract is, it is helpful to learn how one is structured so you are better equipped to find your way around the document. This course will explain the standard structure used in most contracts as well as unique elements included in specific types of contracts, such as in physician contracts. You will also learn to: state where legal terms should be defined in a contract; define boilerplate; identify consequences of termination; cite another term used for a testimonium clause; and describe the concept of most favored nation.
In order to understand what a contract is, it is helpful to learn how one is structured so you are better equipped to find your way around the document. This course will explain the standard structure used in most contracts as well as unique elements included in specific types of contracts, such as in physician contracts. You will also learn to: state where legal terms should be defined in a contract; define boilerplate; identify consequences of termination; cite another term used for a testimonium clause; and describe the concept of most favored nation.
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Produced by: HCCS - Retail Only
The Stark Law, or physician self-referral law, impacts your agreements and relationships with certain physicians. This course will enable you to: name the primary prohibition of the Stark Law; list three...
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The Stark Law, or physician self-referral law, impacts your agreements and relationships with certain physicians. This course will enable you to: name the primary prohibition of the Stark Law; list three key points of the Stark Law; describe two exceptions to the Stark Law; and name two key considerations in determining fair market value.
The Stark Law, or physician self-referral law, impacts your agreements and relationships with certain physicians. This course will enable you to: name the primary prohibition of the Stark Law; list three key points of the Stark Law; describe two exceptions to the Stark Law; and name two key considerations in determining fair market value.
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Produced by: HCCS - Retail Only
The federal Anti-Kickback Statute (AKS) exists, in part, because the government believes that kickbacks undermine the medical decision-making process and undercut fair competition practices by way of patient...
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The federal Anti-Kickback Statute (AKS) exists, in part, because the government believes that kickbacks undermine the medical decision-making process and undercut fair competition practices by way of patient steerage. This course will enable you to: name a distinction between the Anti-Kickback Statute and the Stark Law; identify a key component of the Anti-Kickback Statute; describe how a conflict of interest can occur with a vendor; and define referral.
The federal Anti-Kickback Statute (AKS) exists, in part, because the government believes that kickbacks undermine the medical decision-making process and undercut fair competition practices by way of patient steerage. This course will enable you to: name a distinction between the Anti-Kickback Statute and the Stark Law; identify a key component of the Anti-Kickback Statute; describe how a conflict of interest can occur with a vendor; and define referral.
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Produced by: HCCS - Retail Only
The False Claims Act (FCA) was passed in 1863, during the Civil War, as a result of the submission of fraudulent claims to the government and, like the Anti-Kickback Statute, it applies to anyone submitting...
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The False Claims Act (FCA) was passed in 1863, during the Civil War, as a result of the submission of fraudulent claims to the government and, like the Anti-Kickback Statute, it applies to anyone submitting claims for any item or service to any federal program. This course will enable you to: describe how contracts and arrangements may impact False Claims Act liability; name the primary prohibition of the False Claims Act; describe the penalties for False Claims Act violations; and define whistleblower.
The False Claims Act (FCA) was passed in 1863, during the Civil War, as a result of the submission of fraudulent claims to the government and, like the Anti-Kickback Statute, it applies to anyone submitting claims for any item or service to any federal program. This course will enable you to: describe how contracts and arrangements may impact False Claims Act liability; name the primary prohibition of the False Claims Act; describe the penalties for False Claims Act violations; and define whistleblower.
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Produced by: HCCS - Retail Only
This course will enable you to: name two types of guidance documents issued by the government, specific to contracts and arrangements; define inurement; describe the importance of your organization's...
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This course will enable you to: name two types of guidance documents issued by the government, specific to contracts and arrangements; define inurement; describe the importance of your organization's policies and procedures with regard to contracts and arrangements; discuss how the tax code impacts contracts and arrangements; describe gainsharing; and discuss why organizational considerations beyond the legal requirements must be made for contracts and arrangements.
This course will enable you to: name two types of guidance documents issued by the government, specific to contracts and arrangements; define inurement; describe the importance of your organization's policies and procedures with regard to contracts and arrangements; discuss how the tax code impacts contracts and arrangements; describe gainsharing; and discuss why organizational considerations beyond the legal requirements must be made for contracts and arrangements.
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Produced by: HCCS - Retail Only
Practitioner arrangements are a key focus are of the Office of Inspector General. This course will enable you to: list reasons for the increase in physician employment by healthcare systems; differentiate...
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Practitioner arrangements are a key focus are of the Office of Inspector General. This course will enable you to: list reasons for the increase in physician employment by healthcare systems; differentiate between the Bona Fide Employment Exception under the Stark Law and the Anti-Kickback Statute safe harbor for remuneration; define fair market value as it applies to physician compensation; identify a noncompetition agreement; and describe commercially reasonable as defined by the Centers for Medicare and Medicaid Services (CMS).
Practitioner arrangements are a key focus are of the Office of Inspector General. This course will enable you to: list reasons for the increase in physician employment by healthcare systems; differentiate between the Bona Fide Employment Exception under the Stark Law and the Anti-Kickback Statute safe harbor for remuneration; define fair market value as it applies to physician compensation; identify a noncompetition agreement; and describe commercially reasonable as defined by the Centers for Medicare and Medicaid Services (CMS).
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Produced by: HCCS - Retail Only
Practitioner arrangements are a key focus area for the Office of Inspector General. This course will enable you to: describe a focus arrangement; name the elements to consider in determining fair market...
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Practitioner arrangements are a key focus area for the Office of Inspector General. This course will enable you to: describe a focus arrangement; name the elements to consider in determining fair market value; and describe elements of a compensation arrangement.
Practitioner arrangements are a key focus area for the Office of Inspector General. This course will enable you to: describe a focus arrangement; name the elements to consider in determining fair market value; and describe elements of a compensation arrangement.
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Produced by: HCCS - Retail Only
This course will enable you to: list two essential elements in a Medical Director arrangement; name three items that should be addressed in a physician recruitment arrangement; and name one danger area with...
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This course will enable you to: list two essential elements in a Medical Director arrangement; name three items that should be addressed in a physician recruitment arrangement; and name one danger area with regard to lease agreements.
This course will enable you to: list two essential elements in a Medical Director arrangement; name three items that should be addressed in a physician recruitment arrangement; and name one danger area with regard to lease agreements.
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Produced by: HCCS - Retail Only
This course will enable you to: state a reason for having a process for self-disclosures; describe two ways to ensure policies and procedures are effective; describe why having a method for managing contracts...
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This course will enable you to: state a reason for having a process for self-disclosures; describe two ways to ensure policies and procedures are effective; describe why having a method for managing contracts is important to an organization; and state a reason to track remuneration provided to physicians.
This course will enable you to: state a reason for having a process for self-disclosures; describe two ways to ensure policies and procedures are effective; describe why having a method for managing contracts is important to an organization; and state a reason to track remuneration provided to physicians.
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Produced by: HCCS - Retail Only
Healthcare is a complex, high-risk industry that demands compliance with federal and state regulatory requirements as well as organizational policies and practices. This course will, on a high level, ...
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Healthcare is a complex, high-risk industry that demands compliance with federal and state regulatory requirements as well as organizational policies and practices. This course will, on a high level, acquaint the learner with risk areas most likely to trigger governmental audits or investigations of healthcare organizations. Topics include confidentiality of information, documentation and coding, billing and reimbursement, illegal provider relationships, EMTALA, False Claims Act and more.
Healthcare is a complex, high-risk industry that demands compliance with federal and state regulatory requirements as well as organizational policies and practices. This course will, on a high level, acquaint the learner with risk areas most likely to trigger governmental audits or investigations of healthcare organizations. Topics include confidentiality of information, documentation and coding, billing and reimbursement, illegal provider relationships, EMTALA, False Claims Act and more.
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Produced by: HCCS - Retail Only
An effective Compliance Program is one of the best ways that an organization can protect itself against running afoul of the government. Everyone within the organization plays a big role in Compliance. In...
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An effective Compliance Program is one of the best ways that an organization can protect itself against running afoul of the government. Everyone within the organization plays a big role in Compliance. In this course you will learn the importance of a compliance program; describe the seven elements of an effective compliance program; and identify major compliance program risk areas.
An effective Compliance Program is one of the best ways that an organization can protect itself against running afoul of the government. Everyone within the organization plays a big role in Compliance. In this course you will learn the importance of a compliance program; describe the seven elements of an effective compliance program; and identify major compliance program risk areas.
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Produced by: HCCS - Retail Only
Stark Law is a complicated body of law that has significant impact on healthcare. This course will help the learner understand the key points regarding the Stark Law, the exceptions to the Stark Law, basic...
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Stark Law is a complicated body of law that has significant impact on healthcare. This course will help the learner understand the key points regarding the Stark Law, the exceptions to the Stark Law, basic considerations in determining fair market value and sanctions for Stark violations.
Stark Law is a complicated body of law that has significant impact on healthcare. This course will help the learner understand the key points regarding the Stark Law, the exceptions to the Stark Law, basic considerations in determining fair market value and sanctions for Stark violations.
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Produced by: HCCS - Retail Only
The Anti-Kickback Statute is another law that affects healthcare. It can be confused with the Stark Law. This course will help you make a distinction between the Stark Law and the Anti-Kickback Statute, the...
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The Anti-Kickback Statute is another law that affects healthcare. It can be confused with the Stark Law. This course will help you make a distinction between the Stark Law and the Anti-Kickback Statute, the key elements of the AKS, Safe Harbors and the civil and criminal penalties for Anti-Kickback Statute violations.
The Anti-Kickback Statute is another law that affects healthcare. It can be confused with the Stark Law. This course will help you make a distinction between the Stark Law and the Anti-Kickback Statute, the key elements of the AKS, Safe Harbors and the civil and criminal penalties for Anti-Kickback Statute violations.
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Produced by: HCCS - Retail Only
Documentation, billing and reimbursement are high on the list of troublesome areas for healthcare organizations and providers. Government requirements are complex, and enforcement is rigid. This course will...
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Documentation, billing and reimbursement are high on the list of troublesome areas for healthcare organizations and providers. Government requirements are complex, and enforcement is rigid. This course will help learners identify the importance of documentation to quality of care, general principles of medical record documentation, documentation risk areas and common billing and reimbursement risk areas.
Documentation, billing and reimbursement are high on the list of troublesome areas for healthcare organizations and providers. Government requirements are complex, and enforcement is rigid. This course will help learners identify the importance of documentation to quality of care, general principles of medical record documentation, documentation risk areas and common billing and reimbursement risk areas.
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Produced by: HCCS - Retail Only
The content in Corporate Compliance 07: Other Risk Areas has been removed.
The content in Corporate Compliance 07: Other Risk Areas has been removed.
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Produced by: HCCS - Retail Only
This course provides an overview of acute kidney failure pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition...
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This course provides an overview of acute kidney failure pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
This course provides an overview of acute kidney failure pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
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Produced by: nThrive
This course provides an overview of the importance of understanding anatomy and physiology for diagnostic coding and health data management. It examines several principles in the ICD-10-CM classification...
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This course provides an overview of the importance of understanding anatomy and physiology for diagnostic coding and health data management. It examines several principles in the ICD-10-CM classification system as well as clinical documentation examples which require anatomy and physiology knowledge.
This course provides an overview of the importance of understanding anatomy and physiology for diagnostic coding and health data management. It examines several principles in the ICD-10-CM classification system as well as clinical documentation examples which require anatomy and physiology knowledge.
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Produced by: nThrive
This course provides an overview of neoplasm-related anemia pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this...
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This course provides an overview of neoplasm-related anemia pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
This course provides an overview of neoplasm-related anemia pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
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Produced by: nThrive
This course provides an overview of nutritional anemia pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and...
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This course provides an overview of nutritional anemia pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
This course provides an overview of nutritional anemia pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
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Produced by: nThrive
This course provides an overview of asthma pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers...
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This course provides an overview of asthma pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
This course provides an overview of asthma pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
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Produced by: nThrive
This course provides an overview of bipolar disorder pathophysiology, the diagnostic testing involved, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition...
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This course provides an overview of bipolar disorder pathophysiology, the diagnostic testing involved, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
This course provides an overview of bipolar disorder pathophysiology, the diagnostic testing involved, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
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Produced by: nThrive
This course provides an overview of bronchitis pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers...
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This course provides an overview of bronchitis pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
This course provides an overview of bronchitis pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
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Produced by: nThrive
This course provides an overview of burn pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers...
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This course provides an overview of burn pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
This course provides an overview of burn pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to this condition and offers specific examples of diagnosis coding in order to teach coding concepts.
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Produced by: nThrive
This course provides an overview of cannabis use, abuse, and dependence pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to...
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This course provides an overview of cannabis use, abuse, and dependence pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to these conditions and offers specific examples of diagnosis coding in order to teach coding concepts.
This course provides an overview of cannabis use, abuse, and dependence pathophysiology, related diagnostic testing, and common treatment modalities. It takes an in-depth look at ICD-10-CM coding related to these conditions and offers specific examples of diagnosis coding in order to teach coding concepts.
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Produced by: nThrive