MRT204 Reimbursement, Compliance & Coding Issues

An overview of the American healthcare system and compliance is presented. Topics covered include the requirements of our coding system in order to receive maximum reimbursement. Current reimbursement methodologies, i.e. RBRVS, APG?s, outpatient and in-patient prospective payments, as well as capitation and fee-for-service reimbursements will be covered. This course will also acquaint the student with billing formats using CMS 1500, UB-04, 83I and 837P. Medicare and the office of inspector general's policy around compliance as they relate to coding are included.