Course Code: REL-RCC-REV-CCI-A05
Hours: 0.5
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Differentiate between “hard–coded” and “HIM-coded” activities.
Recall the use of a charge description master and understand its function.
Identify the types of services that are paid through separate Ambulatory Payment Category (APC) payments.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Charging
Reporting Separately-Reportable Services
Example: Status Indicators
Charge Description Master
Charged Services
Charge Description Master Example
Review
Section 3: Procedures
Diagnostic and Nonsurgical Procedures
Surgical or Procedural Services
Review
Section 4: Radiology
Interventional Radiology
Interventional Radiology Packaged Procedures and Status Indicators
Key Points for Radiology Services
Issues That May Affect Payment for Radiology Services
Review
Section 5: Drugs
Drugs, Biologicals, and Radiopharmaceuticals
Status Indicator K
Vaccines
Review
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Subject Matter Expert: Richard R. Cooley, BA, CCS
Richard has more than eighteen years in healthcare consulting. He has developed an expertise in hospital outpatient and inpatient coding, including professional split billing and E/M coding, admission criteria, reimbursement and compliance, and charge master reviews. His areas of expertise include Medicare reimbursement for the Medicare Outpatient Prospective Payment System (OPPS), Medicaid Ambulatory Payment Groups (APGs), as well as commercial payers, and professional reimbursement. He is a certified coder with AHIMA (CCS). Richard earned his Bachelors from Hobart College.
Subject Matter Expert: Veronica Ziac, MBA
Veronica Ziac, MBA has over twenty years of healthcare administration experience. Her areas of expertise include revenue cycle, information systems, population health and physician practice management. Most recently, she was the Director of Revenue Cycle Integrity at Cobleskill Regional Hospital. Prior to that, Veronica was the Chief Operating Officer for a large multispecialty hospital-based physician practice based in New York. Veronica has an MBA in Healthcare Administration from Union College and a bachelor’s degree from the University at Albany. She is a member of HFMA and MGMA and has been Certified in Healthcare Compliance (CHC) by the Healthcare Compliance Association.
Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Hospitals: Acute.
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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.