编码教育计划(A-CEP)
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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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