This course will explain observation services under the Outpatient Prospective Payment System (OPPS ). It will define observation services and discuss codes that are used to report these services. Requirements for admission, including documentation requirements, are covered. Additionally, information on common claims edits is included. This course may feature information on the use of medical and procedural codes, including CPT codes as they relate to the subject matter presented.
“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.”
This activity is approved for 0.5000 contact hours.
Section 1: Introduction
About This Course
Section 2: Overview
Definition of Observation Services
Section 3: Coding and Payment
Observation and APC Codes
Requirements for Separate Ambulatory Payment Classification Payment
Section 4: Direct Admission
Direct Admission to Observation Care
Reporting Direct Admission to Observation Care
Section 5: Edits
Outpatient Code Editor Edits
Section 6: Conclusion
Tamara has twenty-seven years of multi-specialized medical coding and Corporate Compliance experience. She is the founder of Abraham Medical Coach LLC, where she provides medical coding and healthcare compliance consulting services to healthcare organizations across the United States. In addition to consulting, Tamara prepares individuals to sit for their medical coding certification via her online course curriculum. She is an adjunct educator for a local community college based in Texas. Her area of instruction includes Introduction to Medical Law, Medical Terminology, ICD-10-CM and Procedural Coding. Tamara’s credentials include AAPC Approved Instructor, Certified General Surgery Coder and Certified Professional Coder with the Academy of Professional Coders Association (AAPC). She has authored three books specific to the medical coding industry.
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