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Outpatient Coding and Coverage Issues: Observation

Green Clock Hours: 0.50

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.

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$35.00

Course Description

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.

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-REV-CCI-A03
Hours: 0.5
Type: Online Course
Content Expiration Date: 12/31/2024
Learning Objectives:
Recall coding for observation services.
Identify the criteria for the observation Ambulatory Payment Classification (APC).
Apply the documentation and coding rules for observation status.
List the Outpatient Code Editor (OCE) edits that are applicable to observation services.

Outline:
Section 1: Introduction

About This Course

Learning Objectives

Section 2: Overview

Definition of Observation Services

Medical Necessity

Review

Section 3: Coding and Payment

Observation and APC Codes

Requirements for Separate Ambulatory Payment Classification Payment

Documentation Requirements

Review

Section 4: Direct Admission

Direct Admission to Observation Care

Reporting Direct Admission to Observation Care

Review

Section 5: Edits

Outpatient Code Editor Edits

Review

Section 6: Conclusion

Course Summary

Course Contributors

Resources

References

 


Subject Matter Expert: Tamara Abraham, AS, BA, CPC-I, CGSC, CPC
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.
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.
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