Revenue Integrity Essential Skills Online Learning

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Revenue Integrity Essential Skills Online Learning

Product Code: XRIE

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Revenue Integrity Essential Skills Online Learning


The Revenue Integrity Essential Skills Online Learning library offers HCPro’s best-in-class revenue integrity education and training in essential billing, reimbursement, and compliance courses.

The library covers a range of critical billing, reimbursement, and compliance topics to help hospitals train a wide range of healthcare professionals on the core concepts of revenue integrity. It provides the information needed to educate and update staff on Medicare billing and reimbursement fundamentals as well as the latest regulatory changes in an engaging, interactive online learning format.

Each of the 10 modules has two components: a brief, introductory course and information from some of HCPro’s most popular webinars covering the latest changes and regulatory hot topics. This solution combines our top-level information about revenue integrity with specific topics that will be updated annually to address regulatory concerns by switching in the latest webinars.
Topics include:

  • Inpatient Prospective Payment System Regulations and Reimbursement
  • Outpatient Prospective Payment System Coverage and Payment Calculations
  • Patient Status: The 2-Midnight Rule and Observation Services
  • Condition Codes 44 and W2 and Part B–Only Claims
  • Coverage Determinations: NCDs, LCDs, and CED
  • Claim Edits: National Correct Coding Initiative Edits and Medically Unlikely Edits
  • Chargemaster Structure and Capture
  • Strategies and Focus Areas for Audits and Appeals
  • Billing and Coding for Drugs and Biologicals
  • Medicare Claims Submission Fundamentals

Upon completion of the courses in this library, students will be able to:

  • Describe the government’s rules and regulations related to the design and operation of Medicare’s inpatient prospective payment system (IPPS) for short-term acute care hospitals
  • Explain the most significant aspects of and recent changes to Medicare’s outpatient prospective payment system (OPPS)
  • Describe the rules and regulations that must be followed to ensure correct patient assignments
  • Identify how to proceed when a physician incorrectly assigns a patient to inpatient status
  • Discuss national and local coverage determinations and coverage with evidence development
  • Discuss CMS’ process in identifying coding changes and explain the importance of compliance with the National Correct Coding Initiative edits
  • Describe the role of the charge description master in revenue integrity and recognize ways to ensure accurate charges for specific departments and services
  • Explain strategies for a comprehensive audit system that reviews charges, denials, external reports, and regulatory changes
  • Identify challenges related to drug administration billing and coding, both inpatient and outpatient
  • Discuss the importance of complying with claims submission requirements, ensuring billing accuracy, and selecting proper revenue and HCPCS codes

Bulk Pricing Available!

Save when you purchase for multiple users! Ask your customer service representative about money-saving discounts and bulk orders. Call 800-650-6787 or email today.

Revenue Integrity Essential Skills Online Learning


Features of Revenue Integrity Essential Skills Online Learning:

  • Testing and remediation provide feedback on whether learners are applying policies and regulations correctly
  • “Test Your Knowledge” exercises check learner understanding at every step
  • Patient scenarios ask students to analyze a situation, then explain the solution from the expert’s point of view
  • Interactive design and audio narration offers different ways to navigate through the course so students are guided through interaction, not simple reading

In addition to providing the basics, our courses will include more extensive updated lectures each year on specific topics.

HCPro’s Revenue Integrity Essential Skills Online Learning library delivers timely education in a format that allows professionals to maintain productivity and stay on-site. Benefits of eLearning include:

  • Test Your Knowledge questions that ensure students are learning the material as they study
  • AAPC, AHIMA, CCMC, ANCC, and HCCA CEUs to help maintain certification(s)
  • Consistent training to staff in multiple locations
  • Self-directed learning that lets students advance through the materials at their own pace and comfort level

Revenue Integrity Essential Skills Online Learning

Continuing Education

This program has the prior approval of AAPC for 16 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

This program has been approved for 16 CE credits for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity for 27.2 nursing contact hours is provided by HCPro.

This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM board certified case managers. The course is approved for 16.5 CE contact hours.

The Compliance Certification Board (CCB) has approved this event for up to19.9 CCB CEUs. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this program content or of the program sponsor.

Revenue Integrity Essential Skills Online Learning


You will have access to your Revenue Integrity Essential Skills Online Learning for one year from the purchase/order date.