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Catalog Number : cbma1116
Title : Fundamentals of Coding, Billing & Reimbursement Compliance
Speaker : Duane Abbey

Duration : 120 minutes

Webplay Recording Date : 7-28-2006
Webplay Price : $ 225 for two weeks viewing

Teleconference/Webinar Presenter: Duane C. Abbey, Ph.D., CFP

Teleconference Webinar Title: Basic Coding, Billing & Reimbursement Compliance

Teleconference/Webinar Level: Basic

Teleconference/Webinar Objectives:

To review the many aspects of compliance surrounding the overall coding, billing and reimbursement process. Emphasis is placed on general problem areas that cross most payment systems in various forms.

Teleconference/Webinar Outline/Agenda:

  • Compliance Issues
    • Statutory versus Contractual
    • False Claims
    • Medicare Fraud, Abuse & Anti-Kickback
    • Incorrect Cost Reports
    • Stark Laws
  • Billing and Claims Filing Challenges
    • Medical Necessity
    • Billing for Non-Covered Services
    • Billing for Services Not Provided
    • Improper Code Utilization
    • Incomplete Documentation
  • Organizational Challenges
    • Provider-Based Rule
    • Licensing and Accreditation
    • Physician to Hospital Relationships
    • Special Situations
  • Development of Policies & Procedures
    • Need for Formal, Written Policies & Procedures
    • Coding Policies & Procedures
    • Billing Policies & Procedures

Prerequisites for Participating: Introduction to Health Care Payment Systems, Basic CPT and HCPCS Coding, and Billing and Claims Filing Fundamentals

Target Audience: Billing, claims transactions, patient accounting, business office, coding, charge master, compliance, financial, planning, quality assurance and associated job titles and positions within the hospital setting are the main audience. Interested nursing and physician staff members are also welcome to attend.

Attendance Certificate: Upon attending this course you will receive a 2 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Refund Policy:

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.