Coding Education Program (A-CEP) 2017-10-19T18:50:24+00:00

Coding Education Program (A-CEP)

A-CEP Coding Education ProgramThe AASM 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 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

Transition to ICD-10

  • Describe the history and justification for ICD-10-CM
  • Identify the differences between ICD-9-CM and ICD-10-CM coding
  • Review ICD-10-CM coding in the sleep center – sleep medicine codes
  • Review ICD-10-CM implementation guidelines

Credits:  0.50

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