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Category: Biller & Coder

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This course provides key strategies for documenting repair of second through fourth degree obstetrical lacerations.
This course provides key strategies for documenting repair of second through fourth degree obstetrical lacerations.
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Produced by: nThrive
This course provides key strategies for documenting PTCA.
This course provides key strategies for documenting PTCA.
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Produced by: nThrive
This course provides key strategies for documenting spinal fusion.
This course provides key strategies for documenting spinal fusion.
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Produced by: nThrive
An effective Compliance Program not only works to protect an organization against running afoul of the government, it is mandated by law for healthcare providers. Physicians and non-physician providers play...
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An effective Compliance Program not only works to protect an organization against running afoul of the government, it is mandated by law for healthcare providers. Physicians and non-physician providers play a substantial role in helping those organizations stay safe. This course will help you understand the importance of a compliance program, strategies for program assessment and where to go for guidance.
An effective Compliance Program not only works to protect an organization against running afoul of the government, it is mandated by law for healthcare providers. Physicians and non-physician providers play a substantial role in helping those organizations stay safe. This course will help you understand the importance of a compliance program, strategies for program assessment and where to go for guidance.
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Produced by: HCCS - Retail Only
The healthcare regulatory landscape is fraught with risk, much of which is associated with the submission of claims. This course outlines common types of healthcare fraud, the False Claims Act, HIPAA and the...
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The healthcare regulatory landscape is fraught with risk, much of which is associated with the submission of claims. This course outlines common types of healthcare fraud, the False Claims Act, HIPAA and the OIG Work Plan.
The healthcare regulatory landscape is fraught with risk, much of which is associated with the submission of claims. This course outlines common types of healthcare fraud, the False Claims Act, HIPAA and the OIG Work Plan.
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Produced by: HCCS - Retail Only
Stark Law is a complex body of law that has significant impact on healthcare, particularly physicians. This course is Part 1 of a 2-part course that will help you understand the key prohibition of Stark;...
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Stark Law is a complex body of law that has significant impact on healthcare, particularly physicians. This course is Part 1 of a 2-part course that will help you understand the key prohibition of Stark; explain what constitutes a financial relationship under Stark; and understand the services that make up designated health services.
Stark Law is a complex body of law that has significant impact on healthcare, particularly physicians. This course is Part 1 of a 2-part course that will help you understand the key prohibition of Stark; explain what constitutes a financial relationship under Stark; and understand the services that make up designated health services.
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Produced by: HCCS - Retail Only
Stark Law is a complex body of law that has significant impact on healthcare. This course is Part 2 of a 2-part course. This course is a continuation from Part 1 and will help you name two exceptions to the...
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Stark Law is a complex body of law that has significant impact on healthcare. This course is Part 2 of a 2-part course. This course is a continuation from Part 1 and will help you name two exceptions to the Stark Law; state two types of sanctions for Stark violations; describe Fair Market Value; and describe the self-reporting protocol.
Stark Law is a complex body of law that has significant impact on healthcare. This course is Part 2 of a 2-part course. This course is a continuation from Part 1 and will help you name two exceptions to the Stark Law; state two types of sanctions for Stark violations; describe Fair Market Value; and describe the self-reporting protocol.
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Produced by: HCCS - Retail Only
The Anti-Kickback Statute is another primary law affecting healthcare. While seemingly similar to the Stark Law, there are critical differences. This course will introduce you to the distinctions between...
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The Anti-Kickback Statute is another primary law affecting healthcare. While seemingly similar to the Stark Law, there are critical differences. This course will introduce you to the distinctions between the Stark Law and the Anti-Kickback Statute (AKS); the legal meaning of referral; the meaning of safe harbor and the penalties for Anti-Kickback violations .
The Anti-Kickback Statute is another primary law affecting healthcare. While seemingly similar to the Stark Law, there are critical differences. This course will introduce you to the distinctions between the Stark Law and the Anti-Kickback Statute (AKS); the legal meaning of referral; the meaning of safe harbor and the penalties for Anti-Kickback violations .
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Produced by: HCCS - Retail Only
If basic documentation is not accurate, timely and appropriate, it can be very problematic. This course will help you to describe the primary purpose of documentation; give examples of documentation...
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If basic documentation is not accurate, timely and appropriate, it can be very problematic. This course will help you to describe the primary purpose of documentation; give examples of documentation failures; describe elements of effective documentation; and describe basic documentation requirements Evaluation and Management services and in the hospital setting.
If basic documentation is not accurate, timely and appropriate, it can be very problematic. This course will help you to describe the primary purpose of documentation; give examples of documentation failures; describe elements of effective documentation; and describe basic documentation requirements Evaluation and Management services and in the hospital setting.
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Produced by: HCCS - Retail Only
You hear it in the news frequently – another health plan or healthcare provider is the victim of hacking, ransomware attacks or breaches of patient information. Due to the quality and quantity of patient...
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You hear it in the news frequently – another health plan or healthcare provider is the victim of hacking, ransomware attacks or breaches of patient information. Due to the quality and quantity of patient information maintained, healthcare providers are very lucrative targets for criminals. This course discusses the forms of medical identity theft; why medical identity theft is dangerous to the health of the victim and the thief and ways to hinder medical identity theft. The course also discusses identity theft risks with regard to the provider.
You hear it in the news frequently – another health plan or healthcare provider is the victim of hacking, ransomware attacks or breaches of patient information. Due to the quality and quantity of patient information maintained, healthcare providers are very lucrative targets for criminals. This course discusses the forms of medical identity theft; why medical identity theft is dangerous to the health of the victim and the thief and ways to hinder medical identity theft. The course also discusses identity theft risks with regard to the provider.
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Produced by: HCCS - Retail Only
In order to bill for a service in which a resident physician has participated, certain conditions must be documented by the teaching physician. This course discusses what physical presence means; the term...
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In order to bill for a service in which a resident physician has participated, certain conditions must be documented by the teaching physician. This course discusses what physical presence means; the term student in the teaching physician billing rules; what is required for evaluation and management services documentation; and describe the teaching physician physical presence requirements for time-based procedures.
In order to bill for a service in which a resident physician has participated, certain conditions must be documented by the teaching physician. This course discusses what physical presence means; the term student in the teaching physician billing rules; what is required for evaluation and management services documentation; and describe the teaching physician physical presence requirements for time-based procedures.
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Produced by: HCCS - Retail Only
With certain exceptions, the rules for billing diagnostic tests require that they be performed under a specified level of physician supervision. These levels are specified by procedure codes in the Medicare...
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With certain exceptions, the rules for billing diagnostic tests require that they be performed under a specified level of physician supervision. These levels are specified by procedure codes in the Medicare Physician Fee Schedule Relative Value File. This course discusses the three primary levels of physician supervision of diagnostic servoces; Medicare coverage of routine costs during clinical trials; and the payment reporting requirements for Open Payments.
With certain exceptions, the rules for billing diagnostic tests require that they be performed under a specified level of physician supervision. These levels are specified by procedure codes in the Medicare Physician Fee Schedule Relative Value File. This course discusses the three primary levels of physician supervision of diagnostic servoces; Medicare coverage of routine costs during clinical trials; and the payment reporting requirements for Open Payments.
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Produced by: HCCS - Retail Only
The course describes the Inpatient Rehabilitation Facility designation criteria, the three-hour rule affiliated with therapy requirements, required patient record documentation and the medical conditions...
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The course describes the Inpatient Rehabilitation Facility designation criteria, the three-hour rule affiliated with therapy requirements, required patient record documentation and the medical conditions associated with the sixty -percent rule.
The course describes the Inpatient Rehabilitation Facility designation criteria, the three-hour rule affiliated with therapy requirements, required patient record documentation and the medical conditions associated with the sixty -percent rule.
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Produced by: HCCS - Retail Only
This course descibes the core services provided in a comprehensive outpatient rehabilitation facility, the elements of a plan of care, the documentation required for treatment intervention or activity...
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This course descibes the core services provided in a comprehensive outpatient rehabilitation facility, the elements of a plan of care, the documentation required for treatment intervention or activity provided and the timeframes involved in certification and recertifcation of the plan of care.
This course descibes the core services provided in a comprehensive outpatient rehabilitation facility, the elements of a plan of care, the documentation required for treatment intervention or activity provided and the timeframes involved in certification and recertifcation of the plan of care.
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Produced by: HCCS - Retail Only
This course provides an overview of the revenue cycle for Accountable Care Organizations (ACOs). Areas reviewed include the role of ACOs in revenue cycle, including the advantages and limitations, delivery...
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This course provides an overview of the revenue cycle for Accountable Care Organizations (ACOs). Areas reviewed include the role of ACOs in revenue cycle, including the advantages and limitations, delivery model types, and financial impact.
This course provides an overview of the revenue cycle for Accountable Care Organizations (ACOs). Areas reviewed include the role of ACOs in revenue cycle, including the advantages and limitations, delivery model types, and financial impact.
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Produced by: nThrive
This course provides an overview of billing and reimbursement for revenue cycle. The hospital billing process, payment systems, reimbursement and coding guidelines, and claim submission are explored in order...
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This course provides an overview of billing and reimbursement for revenue cycle. The hospital billing process, payment systems, reimbursement and coding guidelines, and claim submission are explored in order to teach the facility’s role in billing standards and reimbursement.
This course provides an overview of billing and reimbursement for revenue cycle. The hospital billing process, payment systems, reimbursement and coding guidelines, and claim submission are explored in order to teach the facility’s role in billing standards and reimbursement.
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Produced by: nThrive
This course provides an in-depth look at Condition Code 44 for revenue cycle. Areas reviewed include condition code 44 criteria, utilization review, and optimal application of the code in daily practice.
This course provides an in-depth look at Condition Code 44 for revenue cycle. Areas reviewed include condition code 44 criteria, utilization review, and optimal application of the code in daily practice.
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Produced by: nThrive
This course provides an overview of denials, appeals, and collections for revenue cycle. Common billing errors, the appeals process, Medicare appeal levels, and subsequent hospital billing procedures are...
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This course provides an overview of denials, appeals, and collections for revenue cycle. Common billing errors, the appeals process, Medicare appeal levels, and subsequent hospital billing procedures are explored in order to teach the facility’s role in billing standards and reimbursement.
This course provides an overview of denials, appeals, and collections for revenue cycle. Common billing errors, the appeals process, Medicare appeal levels, and subsequent hospital billing procedures are explored in order to teach the facility’s role in billing standards and reimbursement.
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Produced by: nThrive
This course provides an overview of disproportionate share hospitals as they relate to the revenue cycle. Areas reviewed include eligibility criteria and the importance of this status for hospital finances.
This course provides an overview of disproportionate share hospitals as they relate to the revenue cycle. Areas reviewed include eligibility criteria and the importance of this status for hospital finances.
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Produced by: nThrive
This course provides an overview of the hospital revenue cycle. Areas reviewed include revenue cycle components, clinical documentation, charge capture, code assignment, billing, reimbursement, and compliant...
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This course provides an overview of the hospital revenue cycle. Areas reviewed include revenue cycle components, clinical documentation, charge capture, code assignment, billing, reimbursement, and compliant outcomes.
This course provides an overview of the hospital revenue cycle. Areas reviewed include revenue cycle components, clinical documentation, charge capture, code assignment, billing, reimbursement, and compliant outcomes.
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Produced by: nThrive
This course provides an overview of ICD-10 as it relates to the revenue cycle. Areas reviewed include ICD-10 structure and organization.
This course provides an overview of ICD-10 as it relates to the revenue cycle. Areas reviewed include ICD-10 structure and organization.
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Produced by: nThrive
This course provides an overview of the revenue cycle for Medicare’s Inpatient Prospective Payment System (IPPS). Areas reviewed include the role of IPPS in the revenue cycle, including its history and...
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This course provides an overview of the revenue cycle for Medicare’s Inpatient Prospective Payment System (IPPS). Areas reviewed include the role of IPPS in the revenue cycle, including its history and components, and how IPPS reimbursement can be affected in various hospital settings.
This course provides an overview of the revenue cycle for Medicare’s Inpatient Prospective Payment System (IPPS). Areas reviewed include the role of IPPS in the revenue cycle, including its history and components, and how IPPS reimbursement can be affected in various hospital settings.
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Produced by: nThrive
This course provides an overview of master patient index (MPI) search and duplicate medical record prevention. Areas reviewed include common data search elements and significance of a clean MPI.
This course provides an overview of master patient index (MPI) search and duplicate medical record prevention. Areas reviewed include common data search elements and significance of a clean MPI.
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Produced by: nThrive
This course provides an overview of the revenue cycle for Medicare’s Outpatient Prospective Payment System (OPPS). Areas reviewed include the role of the OPPS in the revenue cycle, including its history and...
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This course provides an overview of the revenue cycle for Medicare’s Outpatient Prospective Payment System (OPPS). Areas reviewed include the role of the OPPS in the revenue cycle, including its history and components, and how OPPS reimbursement can be affected in various hospital settings.
This course provides an overview of the revenue cycle for Medicare’s Outpatient Prospective Payment System (OPPS). Areas reviewed include the role of the OPPS in the revenue cycle, including its history and components, and how OPPS reimbursement can be affected in various hospital settings.
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Produced by: nThrive
This course provides an overview of the revenue cycle for present on admission (POA), hospital-acquired conditions (HACs), and never events. Areas reviewed include the HAC-POA program, indicators for these...
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This course provides an overview of the revenue cycle for present on admission (POA), hospital-acquired conditions (HACs), and never events. Areas reviewed include the HAC-POA program, indicators for these elements, and their impact on reimbursement.
This course provides an overview of the revenue cycle for present on admission (POA), hospital-acquired conditions (HACs), and never events. Areas reviewed include the HAC-POA program, indicators for these elements, and their impact on reimbursement.
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Produced by: nThrive