编码教育计划(A-CEP)

A-CEP编码教育计划 AASM医学编码教育计划(A-CEP)是专门为睡眠中心开发的第一个也是仅在线编码,保险和偿还教育计划。通过完成医疗编码教育计划,您将获得程序和诊断编码,保险政策要求和索赔提交过程的全面工作知识。

A-CEP Modules

介绍

  • 审查睡眠中心编码和结算的目的
  • 在编码和结算中识别关键术语
  • Identify the roles of staff within the sleep center related to coding and billing
  • Discuss setbacks and road blocks that sleep center coders and billers encounter

Credits: 0.50

Procedure Coding

  • Identify key terminology used in procedure coding
  • Identify procedure coding manuals used in the sleep center
  • 解释程序编码指南以及如何阅读程序编码手册
  • Review procedure coding for sleep medicine

Credits: 0.75

Diagnostic Coding

  • 识别诊断编码中使用的关键术语
  • Identify the diagnostic coding manuals used in the sleep center
  • 解释诊断编码指南以及如何阅读诊断编码手册
  • Review diagnostic coding for sleep medicine

Credits: 0.75

Evaluation and Management

  • Identify key terminology used in evaluation and management coding
  • Identify evaluation and management codes used in the sleep center
  • Describe the documentation guidelines for evaluation and management coding

Credits: 0.75

公共保险公司和保险公司政策

  • Identify key terminology related to public insurance programs
  • Explain the history of Medicare and describe other government payers such as Medicaid, CHIP and TRICARE
  • 描述CMS在政策和报销中的作用,并讨论Medicare政策
  • 描述Medicare注册过程

Credits: 0.75

Private Insurers and Insurer Policies

  • Identify key terminology related to private insurance programs
  • Explain concepts behind private insurance
  • 描述不同类型的私人保险
  • 描述睡眠医学私人保险的最新趋势

Credits: 0.75

保险要求

  • Identify key terminology related to insurance claims
  • 解释完成保险索赔所需的信息
  • Review the process for claims submission
  • Explain appeals and rebilling processes

Credits: 0.75

Establishing Efficient Coding and Billing Processes

  • Identify sleep center staff members’ roles related to coding and billing
  • Map and analyze the movement of a claim through the sleep center
  • Describe best practices related to coding and billing processes

Credits: 0.75

报销

  • Identify key terminology used in discussions about reimbursement
  • Describe the current CMS process for establishing reimbursement
  • 审查AMA RUC在制定报销率方面的作用
  • Review reimbursement models for Medicare and private insurers

Credits: 0.75

Patient Billing and Education

  • 描述患者在索赔过程中的作用
  • 列出收集策略的类型睡眠中心应该维护
  • 确定跟踪和跟进患者关于未偿还账单的适当机制

Credits: 0.75

HIPAA,欺诈and Abuse

  • Identify key terminology used in discussions about HIPAA, fraud and abuse
  • Discuss the role of HIPPA in the sleep center
  • Describe key organizations involved in the monitoring of fraud and abuse
  • Identify fraud and abuse statues and laws that impact the sleep field

Credits: 0.75

Developing a Compliance Program

  • 定义合规计划,并描述在睡眠中心实施合规计划的原因
  • 概述睡眠中心合规计划的核心组件
  • List the steps for performing a baseline and annual sleep center audit

Credits: 0.75

过渡到ICD-10

  • Describe the history and justification for ICD-10-CM
  • Identify the differences between ICD-9-CM and ICD-10-CM coding
  • 审查ICD-10-CM编码在睡眠中心 - 睡眠医学码
  • 审查ICD-10厘米实施指南

Credits: 0.50

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