Filter Keyword to...

Category: Billing

Results Per Page :
Today’s healthcare environment demands outstanding performance across the board.
Today’s healthcare environment demands outstanding performance across the board.
[READ LESS]
Produced by: Healthcare Financial Management Association (HFMA)
Today’s healthcare environment demands outstanding performance across the board.
Today’s healthcare environment demands outstanding performance across the board.
[READ LESS]
Produced by: Healthcare Financial Management Association (HFMA)
This course defines an outpatient and explains two common terms used in the billing process for outpatient services. The course also explains Medicare and patient payment portions for outpatient services and...
[READ MORE]
This course defines an outpatient and explains two common terms used in the billing process for outpatient services. The course also explains Medicare and patient payment portions for outpatient services and discusses basic Medicare regulations for billing inpatient and outpatient services.
This course defines an outpatient and explains two common terms used in the billing process for outpatient services. The course also explains Medicare and patient payment portions for outpatient services and discusses basic Medicare regulations for billing inpatient and outpatient services.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course presents basic information about Medicare Advantage plans. This course also explains Medicare deductibles, co-insurance, and the insurance plans that are available to cover these costs. In...
[READ MORE]
This course presents basic information about Medicare Advantage plans. This course also explains Medicare deductibles, co-insurance, and the insurance plans that are available to cover these costs. In addition, this course explains how and where to find information on Medicare regulations, requirements, billing and claims processing, and coverage.
This course presents basic information about Medicare Advantage plans. This course also explains Medicare deductibles, co-insurance, and the insurance plans that are available to cover these costs. In addition, this course explains how and where to find information on Medicare regulations, requirements, billing and claims processing, and coverage.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course describes Medicare coverage, billing procedures, and payment methodologies for various types of ESRD treatments. Billing requirements for blood-related services for ESRD patients as well as EPO...
[READ MORE]
This course describes Medicare coverage, billing procedures, and payment methodologies for various types of ESRD treatments. Billing requirements for blood-related services for ESRD patients as well as EPO and Aranesp, drugs and laboratory services are described. Payment guidelines are discussed for specific services.
This course describes Medicare coverage, billing procedures, and payment methodologies for various types of ESRD treatments. Billing requirements for blood-related services for ESRD patients as well as EPO and Aranesp, drugs and laboratory services are described. Payment guidelines are discussed for specific services.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course offers information about revenue codes and the HCPCS coding system and provides examples of proper coding. It explains NCCI edits, HCPCS validity edits, and requirements for line item dates of...
[READ MORE]
This course offers information about revenue codes and the HCPCS coding system and provides examples of proper coding. It explains NCCI edits, HCPCS validity edits, and requirements for line item dates of service and service units. This course also describes APC groups and packaged codes.
This course offers information about revenue codes and the HCPCS coding system and provides examples of proper coding. It explains NCCI edits, HCPCS validity edits, and requirements for line item dates of service and service units. This course also describes APC groups and packaged codes.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains some basics of Medicare inpatient coverage, including duration of coverage, leave of absence, coinsurance days, the use of lifetime reserve days, psychiatric days, and the use of Part B...
[READ MORE]
This course explains some basics of Medicare inpatient coverage, including duration of coverage, leave of absence, coinsurance days, the use of lifetime reserve days, psychiatric days, and the use of Part B for inpatient coverage. In addition, this course explains basic concepts that Medicare uses to determine payment for most inpatient hospital services, including the Prospective Payment System, diagnosis-related groups, and outliers.
This course explains some basics of Medicare inpatient coverage, including duration of coverage, leave of absence, coinsurance days, the use of lifetime reserve days, psychiatric days, and the use of Part B for inpatient coverage. In addition, this course explains basic concepts that Medicare uses to determine payment for most inpatient hospital services, including the Prospective Payment System, diagnosis-related groups, and outliers.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains the National Correct Coding Initiative procedures implemented by Medicare to ensure that bills are coded properly. The course also explains the Outpatient Code Editors (OCE) and the...
[READ MORE]
This course explains the National Correct Coding Initiative procedures implemented by Medicare to ensure that bills are coded properly. The course also explains the Outpatient Code Editors (OCE) and the Integrated Outpatient Code Editors (I/OCE).
This course explains the National Correct Coding Initiative procedures implemented by Medicare to ensure that bills are coded properly. The course also explains the Outpatient Code Editors (OCE) and the Integrated Outpatient Code Editors (I/OCE).
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course describes the functions of the Medical Records Department (also known as Health Information Management or HIM) and its interactions with the Patient Accounts Department. It also explains the...
[READ MORE]
This course describes the functions of the Medical Records Department (also known as Health Information Management or HIM) and its interactions with the Patient Accounts Department. It also explains the structure of revenue codes and the need for detail-level billing in certain situations. The course explains requirements related to pass-through medical devices, implantable devices, and non-implantable devices. Also covered are the use of codes in billing Medicare outpatient emergency and clinic services, including HCPCS visit levels, typical revenue codes, and code modifiers.
This course describes the functions of the Medical Records Department (also known as Health Information Management or HIM) and its interactions with the Patient Accounts Department. It also explains the structure of revenue codes and the need for detail-level billing in certain situations. The course explains requirements related to pass-through medical devices, implantable devices, and non-implantable devices. Also covered are the use of codes in billing Medicare outpatient emergency and clinic services, including HCPCS visit levels, typical revenue codes, and code modifiers.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains how to bill for physical and occupational therapy and what financial limitations apply. The course identifies portions of the billing process for speech therapy, including the...
[READ MORE]
This course explains how to bill for physical and occupational therapy and what financial limitations apply. The course identifies portions of the billing process for speech therapy, including the general rules of coverage and basic definitions. This course also introduces the new nonpayable functional G-codes and the 7 modifiers that are required on selected claims for physical therapy, occupational therapy, and speech-language pathology services.
This course explains how to bill for physical and occupational therapy and what financial limitations apply. The course identifies portions of the billing process for speech therapy, including the general rules of coverage and basic definitions. This course also introduces the new nonpayable functional G-codes and the 7 modifiers that are required on selected claims for physical therapy, occupational therapy, and speech-language pathology services.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains basic concepts surrounding end-stage renal disease (ESRD), including definitions, covered services, ESRD prospective payment system, Medicare as secondary payer (MSP), and the...
[READ MORE]
This course explains basic concepts surrounding end-stage renal disease (ESRD), including definitions, covered services, ESRD prospective payment system, Medicare as secondary payer (MSP), and the coordination period. In-facility bill processing is also covered, including which services are still separately billable under the ESRD PPS.
This course explains basic concepts surrounding end-stage renal disease (ESRD), including definitions, covered services, ESRD prospective payment system, Medicare as secondary payer (MSP), and the coordination period. In-facility bill processing is also covered, including which services are still separately billable under the ESRD PPS.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains Medicare coverage for drugs and biologicals that are prescribed for patients. It also presents guidelines for coding and billing for special drugs and biologicals. The course...
[READ MORE]
This course explains Medicare coverage for drugs and biologicals that are prescribed for patients. It also presents guidelines for coding and billing for special drugs and biologicals. The course explains the mechanisms and uses of immune globulins, erythropoietin and darbepoetin, and provides guidelines for coding and billing these special drug categories. In addition, the course describes the competitive acquisition program (CAP) for physicians.
This course explains Medicare coverage for drugs and biologicals that are prescribed for patients. It also presents guidelines for coding and billing for special drugs and biologicals. The course explains the mechanisms and uses of immune globulins, erythropoietin and darbepoetin, and provides guidelines for coding and billing these special drug categories. In addition, the course describes the competitive acquisition program (CAP) for physicians.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains Medicare’s billing requirements for services provided to patients with End Stage Renal Disease (ESRD). The course describes billing for services such as organ procurement that are part of...
[READ MORE]
This course explains Medicare’s billing requirements for services provided to patients with End Stage Renal Disease (ESRD). The course describes billing for services such as organ procurement that are part of renal transplant. Requirements for Certified Transplant Centers (CTCs) and Organ Procurement Organizations (OPOs) are explained, and required documentation by suppliers is discussed.
This course explains Medicare’s billing requirements for services provided to patients with End Stage Renal Disease (ESRD). The course describes billing for services such as organ procurement that are part of renal transplant. Requirements for Certified Transplant Centers (CTCs) and Organ Procurement Organizations (OPOs) are explained, and required documentation by suppliers is discussed.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains Medicare’s hospice benefits, including how to complete a notice of election, the different levels of hospice care and their payment rates, what deductibles and coinsurance amounts apply...
[READ MORE]
This course explains Medicare’s hospice benefits, including how to complete a notice of election, the different levels of hospice care and their payment rates, what deductibles and coinsurance amounts apply under hospice benefits, the caps and limits on hospice payment, how physicians’ services are paid, and medical review of claims.
This course explains Medicare’s hospice benefits, including how to complete a notice of election, the different levels of hospice care and their payment rates, what deductibles and coinsurance amounts apply under hospice benefits, the caps and limits on hospice payment, how physicians’ services are paid, and medical review of claims.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains what constitutes observation and how to bill for it.
This course explains what constitutes observation and how to bill for it.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course defines basic terms associated with billing for laboratory tests and explains how payment is made for tests in a variety of settings. Other topics include how rural health clinics bill for...
[READ MORE]
This course defines basic terms associated with billing for laboratory tests and explains how payment is made for tests in a variety of settings. Other topics include how rural health clinics bill for laboratory services, where and when deductibles and coinsurance apply to services, and what methods of payment are used for services in various circumstances. The course also presents the rules of payment and billing for hospital-based laboratory services. In addition, the course explains what providers of laboratory services must do to comply with the Clinical Laboratory Improvement Amendments (CLIAs), including licensure, procedures, CLIA numbers, certificates of waiver, HCPCS codes, and notification of denials.
This course defines basic terms associated with billing for laboratory tests and explains how payment is made for tests in a variety of settings. Other topics include how rural health clinics bill for laboratory services, where and when deductibles and coinsurance apply to services, and what methods of payment are used for services in various circumstances. The course also presents the rules of payment and billing for hospital-based laboratory services. In addition, the course explains what providers of laboratory services must do to comply with the Clinical Laboratory Improvement Amendments (CLIAs), including licensure, procedures, CLIA numbers, certificates of waiver, HCPCS codes, and notification of denials.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains how clinical laboratory tests are generally paid and coded and describes the circumstances in which specimen collection fees may be claimed for laboratory tests. The course also describes...
[READ MORE]
This course explains how clinical laboratory tests are generally paid and coded and describes the circumstances in which specimen collection fees may be claimed for laboratory tests. The course also describes the circumstances in which travel allowances for specimen collection services are covered as well as what lab tests qualify as anatomic pathology services in CPT. In addition, this course explains how combinations of lab tests typically performed together are billed, coded, and paid. The course also outlines the activities of the blood bank and describes blood transfusions, blood and blood products, and coding and billing for blood and blood services.
This course explains how clinical laboratory tests are generally paid and coded and describes the circumstances in which specimen collection fees may be claimed for laboratory tests. The course also describes the circumstances in which travel allowances for specimen collection services are covered as well as what lab tests qualify as anatomic pathology services in CPT. In addition, this course explains how combinations of lab tests typically performed together are billed, coded, and paid. The course also outlines the activities of the blood bank and describes blood transfusions, blood and blood products, and coding and billing for blood and blood services.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains Medicare’s requirements for billing for outpatient surgical services, including surgery that normally is provided only in inpatient settings and surgery provided in the emergency...
[READ MORE]
This course explains Medicare’s requirements for billing for outpatient surgical services, including surgery that normally is provided only in inpatient settings and surgery provided in the emergency department. Outpatient surgery for implants such as pacemakers, surgery for cataracts, and gastrointestinal surgery are discussed.
This course explains Medicare’s requirements for billing for outpatient surgical services, including surgery that normally is provided only in inpatient settings and surgery provided in the emergency department. Outpatient surgery for implants such as pacemakers, surgery for cataracts, and gastrointestinal surgery are discussed.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course identifies the various types of radiation therapy and discusses coding and billing for radiation therapy services. This course also explains payment and coding for physicians’ services...
[READ MORE]
This course identifies the various types of radiation therapy and discusses coding and billing for radiation therapy services. This course also explains payment and coding for physicians’ services associated with weekly radiation therapy management, including bundled and separate services.
This course identifies the various types of radiation therapy and discusses coding and billing for radiation therapy services. This course also explains payment and coding for physicians’ services associated with weekly radiation therapy management, including bundled and separate services.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains general billing and payment conditions for radiology and other diagnostic services, and provides detailed information about magnetic resonance imaging and angiography. This course...
[READ MORE]
This course explains general billing and payment conditions for radiology and other diagnostic services, and provides detailed information about magnetic resonance imaging and angiography. This course explains billing and payment criteria for CT scan billing and requirements for billing the contrast media used in computerized axial tomography (CT) and nuclear medicine. In addition, the course offers billing instructions for positron emission tomography (PET) scans.
This course explains general billing and payment conditions for radiology and other diagnostic services, and provides detailed information about magnetic resonance imaging and angiography. This course explains billing and payment criteria for CT scan billing and requirements for billing the contrast media used in computerized axial tomography (CT) and nuclear medicine. In addition, the course offers billing instructions for positron emission tomography (PET) scans.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains the current coverage of PET scans for use in diagnosing and staging disease, and the effective dates for key provisions. It also explains the criteria, payment methodology, and HCPCS...
[READ MORE]
This course explains the current coverage of PET scans for use in diagnosing and staging disease, and the effective dates for key provisions. It also explains the criteria, payment methodology, and HCPCS codes for bone mass measurement and the provisions under which Medicare pays separately for the professional component of X-rays and EKGs performed in the emergency room. This course also offers insight into supervision and interpretation codes, the billing components of portable x-ray services, and how skilled nursing facilities bill for radiology services.
This course explains the current coverage of PET scans for use in diagnosing and staging disease, and the effective dates for key provisions. It also explains the criteria, payment methodology, and HCPCS codes for bone mass measurement and the provisions under which Medicare pays separately for the professional component of X-rays and EKGs performed in the emergency room. This course also offers insight into supervision and interpretation codes, the billing components of portable x-ray services, and how skilled nursing facilities bill for radiology services.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
In this course you will learn about various types of preventive and screening services as well as the coverage and billing requirements for each. Preventive services covered include pelvic examinations, Pap...
[READ MORE]
In this course you will learn about various types of preventive and screening services as well as the coverage and billing requirements for each. Preventive services covered include pelvic examinations, Pap smears, screening for prostate cancer and colorectal cancer, glaucoma, diabetes, and cardiovascular disease. Also covered are initial preventive physical examinations; annual wellness visits; preventive vaccines against pneumococcal pneumonia, the influenza virus, and hepatitis B; aortic aneurysm screening; HIV screening; screening for sexually transmitted infections (STIs); alcohol screening; screening for depression; and screening and diagnostic mammography.
In this course you will learn about various types of preventive and screening services as well as the coverage and billing requirements for each. Preventive services covered include pelvic examinations, Pap smears, screening for prostate cancer and colorectal cancer, glaucoma, diabetes, and cardiovascular disease. Also covered are initial preventive physical examinations; annual wellness visits; preventive vaccines against pneumococcal pneumonia, the influenza virus, and hepatitis B; aortic aneurysm screening; HIV screening; screening for sexually transmitted infections (STIs); alcohol screening; screening for depression; and screening and diagnostic mammography.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course explains the parameters, requirements, and limitations of outpatient partial hospitalization. It also explains the billing requirements and payment methodology used for outpatient partial...
[READ MORE]
This course explains the parameters, requirements, and limitations of outpatient partial hospitalization. It also explains the billing requirements and payment methodology used for outpatient partial hospitalization.
This course explains the parameters, requirements, and limitations of outpatient partial hospitalization. It also explains the billing requirements and payment methodology used for outpatient partial hospitalization.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course describes donors and recipients for four types of transplant services: renal, heart, liver, and stem cell. In addition, the course explains how to bill for hospital and physician services provided...
[READ MORE]
This course describes donors and recipients for four types of transplant services: renal, heart, liver, and stem cell. In addition, the course explains how to bill for hospital and physician services provided before, during, and after a transplant; describes which expenses Medicare will and will not cover; and explains how to obtain Medicare reimbursement for the cost of acquiring donor organs.
This course describes donors and recipients for four types of transplant services: renal, heart, liver, and stem cell. In addition, the course explains how to bill for hospital and physician services provided before, during, and after a transplant; describes which expenses Medicare will and will not cover; and explains how to obtain Medicare reimbursement for the cost of acquiring donor organs.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association
This course outlines Medicare's definition of phase II cardiac rehabilitation services and describes how these services must be reported and billed. It also describes how and why medications are infused into...
[READ MORE]
This course outlines Medicare's definition of phase II cardiac rehabilitation services and describes how these services must be reported and billed. It also describes how and why medications are infused into the bloodstream of a patient, and how coding and billing for this type of drug therapy should be accomplished. The course also explains medical nutrition therapy, who provides it under what conditions, and how it is billed. In addition, the course provides details about billing for physical and occupational therapy services, including how to factor in cap exceptions, modifiers and service units.
This course outlines Medicare's definition of phase II cardiac rehabilitation services and describes how these services must be reported and billed. It also describes how and why medications are infused into the bloodstream of a patient, and how coding and billing for this type of drug therapy should be accomplished. The course also explains medical nutrition therapy, who provides it under what conditions, and how it is billed. In addition, the course provides details about billing for physical and occupational therapy services, including how to factor in cap exceptions, modifiers and service units.
[READ LESS]
Produced by: HFMA - Healthcare Financial Management Association