Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Business Partners
Hospitals and Other Providers

Career level:

Early Careerist
Experienced Professional
Student

Recommended for:

Billing

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

18 Months

Course | Overview | Compliance

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 ...

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Course | Overview | Compliance

This course discusses the regulation and accreditation of the healthcare field. It provides overviews of various legislation, such as the HMO Act of 1973, the Employee Retirement Income Security Act of 1974 (ERISA), state regulations, and t...

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Course | Overview | Compliance

This course addresses the rise of corporate compliance programs in healthcare organizations, including their complexity and importance. It reviews the components of corporate compliance programs and the role of a compliance officer to know ...

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Course | Overview | Compliance

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.

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Course | Overview | Compliance

This course defines "use" and "disclosure" and explains when patient health information may and may not be shared orally, electronically, and in its written form. It describes the 12 purposes for which PHI may be released without authorizat...

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Course | Overview | Compliance

Compl: The Outpatient Prospective Payment System

Course | Overview | Compliance

Compl: The Outpatient Prospective Payment System

Description

This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective payment system. The course can be used as a basis for understanding compliance issues relating to the OPPS.
After this program, you'll be able to..
  • Recognize the history of the Medicare outpatient prospective payment system
  • Identify how payment is made under the Medicare outpatient prospective payment system
  • Identify what services are not paid under the Medicare outpatient prospective payment system
  • Recognize the statutory history of ambulatory payment classifications
  • Recognize reimbursement is determined using ambulatory payment classifications
  • Define pass-through payments

Related Courses | Compliance

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.

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.

Course | Overview | Compliance

Compl: Healthcare Industry Regulation and Accreditation

This course discusses the regulation and accreditation of the healthcare field. It provides overviews of various legislation, such as the HMO Act of 1973, the Employee Retirement Income Security Act of 1974 (ERISA), state regulations, and the Patient Protection and Affordable Care Act (PPACA). It also discusses regulatory and crediting bodies, including the Joint Commission, URAC, and the National Committee for Quality Assurance (NCQA).

Course | Overview | Compliance

Compl: Compliance and HIPAA Regulations

This course addresses the rise of corporate compliance programs in healthcare organizations, including their complexity and importance. It reviews the components of corporate compliance programs and the role of a compliance officer to know the statutes and regulations that govern all federal programs, and to operate within them. You'll know more about the Health Insurance Portability and Accountability Act (HIPAA), including electronic transaction code sets, and privacy and security components.