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Business Partners
Hospitals and Other Providers

Career level:

Early Careerist
Experienced Professional

Recommended for:

Revenue Cycle

Delivery Method:

Self Study

Advance Preparation:




Course Availability:

18 Months

Course | Overview | Compliance

Compl: Billing Risks

Course | Overview | Compliance

Compl: Billing Risks


This course covers a set of four compliance risk areas identified by the Office of Inspector General (OIG) that healthcare providers need to be aware of before they submit healthcare claims to federal agencies for approval. The course also discusses the nature of these risks and the potential sanctions and consequences for healthcare providers if they take these risks while submitting claims to federal agencies.

Estimated course completion time: 30 minutes
After this program, you'll be able to..
  • Identify the risk of billing for services not rendered
  • Recognize the risk of billing for medically unnecessary services
  • Recognize the potential sanctions and consequences
  • Recognize the risk of duplicate billing
  • Recognize the risk of billing for discharge in lieu of transfer

Related Courses | Compliance

On Demand Webinar | Basic | Compliance

What does the CMS Quality Payment Program (QPP) final rule mean for me

In 2018, the Centers for Medicare and Medicaid Services released the CY 2019 Revisions to Payment Policies under the Physician Fee Schedule and other Revisions to Medicare Part B, which included policies related to Medicare Quality Payment Program (QPP).

Clinicians have two tracks to choose from in the QPP based on their practice size, specialty, location, patient population, and Alternative Model participation: 1.) Merit-based Incentive Payment System (MIPS) or 2.) Advanced Alternative Payment Models.

This webinar will focus on the requirements of physicians' involvement in the QPP and their reimbursement ramifications of participation. Physicians will be made aware of their current participation level and how this will affect their practices and continued improvement of care delivered to patients.

Course | Basic | Physician Payment and Reimbursement

PPM: Coding and Payment Systems

This course discusses coding and payment systems, which establish the potential revenue of the physician practice. Other topics include fee schedules and relative value systems as well as compliance and rules for teaching physicians.

Estimated course completion time: 1 hour

Course | Overview | Compliance

Compl: False Claims Act: Whistle Blower

This course explains the qui tam provisions under the False Claims Act, and the different ways in which a qui tam action may proceed. The course also explains the potential awards available to relators in qui tam actions.

Estimated course completion time: 2 hours

Course | Overview | Compliance

Compl: HIPAA Privacy: An Introduction

This course explains the basics of HIPAA's Privacy Rule and what you need to consider when handling patients' Protected Health Information (PHI). It also outlines the rights that patients have under HIPAA.

Estimated course completion time: 30 minutes