Coding Education Program (A-CEP)
The AASM Medical Coding Education Program (A-CEP) is the first and only online coding, insurance, and reimbursement education program developed specifically for the sleep center. By completing the medical coding education program, you will gain a comprehensive working knowledge of procedure and diagnostic coding, insurance policy requirements and the claims submission process.
A-CEP Modules
Introduction
- Review the purpose of coding and billing in the sleep center
- Identify key terminology in coding and billing
- 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
- Explain procedure coding guidelines and how to read procedure coding manuals
- Review procedure coding for sleep medicine
Credits: 0.75
Diagnostic Coding
- Identify key terminology used in diagnostic coding
- Identify the diagnostic coding manuals used in the sleep center
- Explain diagnostic coding guidelines and how to read diagnostic coding manuals
- 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
Public Insurers and Insurer Policies
- Identify key terminology related to public insurance programs
- Explain the history of Medicare and describe other government payers such as Medicaid, CHIP and TRICARE
- Describe the role of CMS in policy and reimbursement and discuss Medicare policies
- Describe the Medicare enrollment process
Credits: 0.75
Private Insurers and Insurer Policies
- Identify key terminology related to private insurance programs
- Explain concepts behind private insurance
- Describe the different types of private insurance
- Describe recent trends in private insurance for sleep medicine
Credits: 0.75
The Insurance Claim
- Identify key terminology related to insurance claims
- Explain the information required for completion of an insurance claim
- 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
Reimbursement
- Identify key terminology used in discussions about reimbursement
- Describe the current CMS process for establishing reimbursement
- Review the role of the AMA RUC in developing reimbursement rates
- Review reimbursement models for Medicare and private insurers
Credits: 0.75
Patient Billing and Education
- Describe the patient’s role in the claims process
- List the types of collections policies a sleep center should maintain
- Identify appropriate mechanisms for tracking and following up with patients about outstanding bills
Credits: 0.75
HIPAA, Fraud 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
- Define compliance programs and describe the reason for implementing a compliance program in the sleep center
- Outline the core components of a sleep center compliance program
- List the steps for performing a baseline and annual sleep center audit
Credits: 0.75