Course Code: REL-RCC-OPPS-C01
Hours: 0.5
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Identify the basic rules and regulations governing OPPS.
Recognize what is covered under Medicare Part A and Part B.
Describe when to expect annual updates to the APC rules.
Identify the basics of APC assignment and reimbursement.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Background
Review
Section 2: OPPS Updates
Balanced Budget Refinement Act
Updates to the Outpatient Prospective Payment System
Section 3: Medicare Part B
Medicare Plans and OPPS
Part B Hospital Outpatient Services Not Covered Under OPPS
Review
Section 4: APC Basics
Basics of APCs
Section 5: APC Payments
Payments Under OPPS: Part 1
Payments Under OPPS: Part 2
Introduction to Status Indicators
Review
Packaged APC Services
Separately Paid APC Services
Key CMS Websites Surrounding OPPS
Review
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Exam and BrainSparks
Glossary
Instructor: Jean C. Russell, MS, RHIT
Jean Russell has over thirty years of healthcare and information system experience. Her areas of expertise include the Medicare outpatient prospective payment systems (APCs, and APGs), as well as ICD-10-CM/PCS training, Charge Description Master (CDM), admission status reviews, and outpatient coding and compliance. She is a frequent speaker at the national, state and local levels for HFMA and AHIMA professional groups. Jean has her Masters from the University of Houston in Biomedical Engineering; her Bachelors from Colgate University in Biology; and her RHIT from the independent study program through the American Health Information Management Association.
Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Hospitals: Acute.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.