Course Code: REL-RCC-OPPS-C03
Hours: 0.5
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Identify the APC status indicators.
Describe the meaning of the status indicators.
Recognize composite APCs and explain how they are reimbursed.
Distinguish comprehensive APCs and explain what is included in their payment.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Overview
Addenda A and B
Section 2: Packaging
Packaging
Packaging That Results in an APC Payment
Status Indicator Q1
Status Indicator Q2
Status Indicator Q4
Payment for Combined Packaged Services
Packaged and Combined Services Q1 and Q2
Section 3: Composite APCs
Composite APCs
Status Indicator Q3
Review
Ultrasound as a Composite Service
Determining Payment Rates for Composites
Review
Section 4: Comprehensive Payment
Comprehensive APCs (C-APCs)
Section 5: Blood
Blood and Blood Products
Blood Donation
Pass-Through Drugs and Biologicals
Non-Pass-Through Drugs and Biologicals
Status Indicator T Services
Review
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Glossary
Subject Matter Expert: 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.
Instructor: Alison Kazmierczak
Alison has twenty-nine years of healthcare and information system experience, eleven of those years consulting at hospitals across the United States. Her areas of expertise include all aspects of Soarian Financials Revenue Management including Service Catalog (CDM), Service Maps, CRDT, General Ledger, Contracts, Claims, Reports, and all Master Files. Alison has provided analysis and reconfiguration for optimization, new build services, legacy support for hospital systems moving to a new platform, and training.
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.
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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.