Medicare's Outpatient Prospective Payment System: An Overview of OPPS

Hours: 0.50
# Course Code: REL-RCC-OPPS-C01

This course will provide background regarding the development of the Ambulatory Payment Classification (APC) system for the Outpatient Prospective Payment System (OPPS), as well as a general understanding of the services covered.

Course Description

This course will provide background regarding the development of the Ambulatory Payment Classification (APC) system for the Outpatient Prospective Payment System (OPPS), as well as a general understanding of the services covered.

Certificates

Certificates provided by accrediting body (2 Match)

American Health Information Management Association

0.5 HOURS

“This program has been approved for 0.5000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”

American Academy of Professional Coders

0.5 HOURS

This activity is approved for 0.5000 contact hours.

Course Details

Course Code: REL-RCC-OPPS-C01

Hours: 0.5

Type: Online Course

Content Expiration Date: 3/31/2024

Learning Objectives:
Identify the basic rules and regulations governing OPPS.
Recognize what is covered under Medicare Part A and Part B.
Describe when to expect annual updates to the APC rules.
Identify the basics of APC assignment and reimbursement.

Outline:

Section 1: Introduction

About This Course

Learning Objectives

Background

Review

Section 2: OPPS Updates

Balanced Budget Refinement Act

Updates to the Outpatient Prospective Payment System

Section 3: Medicare Part B

Medicare Plans and OPPS

Part B Hospital Outpatient Services Not Covered Under OPPS

Review

Section 4: APC Basics

Basics of APCs

Section 5: APC Payments

Payments Under OPPS: Part 1

Payments Under OPPS: Part 2

Introduction to Status Indicators

Review

Packaged APC Services

Separately Paid APC Services

Key CMS Websites Surrounding OPPS

Review

Section 6: Conclusion

Course Summary

Course Contributors

Resources

References

Exam and BrainSparks

Glossary

Instructor: Jean C. Russell, MS, RHIT

Jean Russell has over thirty years of healthcare and information system experience. Her areas of expertise include the Medicare outpatient prospective payment systems (APCs, and APGs), as well as ICD-10-CM/PCS training, Charge Description Master (CDM), admission status reviews, and outpatient coding and compliance. She is a frequent speaker at the national, state and local levels for HFMA and AHIMA professional groups. Jean has her Masters from the University of Houston in Biomedical Engineering; her Bachelors from Colgate University in Biology; and her RHIT from the independent study program through the American Health Information Management Association.
Disclosure: Jean C. Russell, MS, RHIT has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.

Target Audience:
The target audience for this course is: Coding Specialists; in the following settings: Acute Care Facility.

Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.

Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.

Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.

Medicare's Outpatient Prospective Payment System: An Overview of OPPS

This course will provide background regarding the development of the Ambulatory Payment Classification (APC) system for the Outpatient Prospective Payment System (OPPS), as well as a general understanding of the services covered.

$ 35.0 $35.00 $35.00

American Health Information Management Association

American Academy of Professional Coders

$ 35.0 $35.00

$35.00