Fundamentals of Reimbursement: Hospital Services


This two-course bundle will help Coders, Clinical Documentation Improvement Specialists and other key actors in the hospital revenue cycle understand the complexities of the healthcare reimbursement system and their role in ensuring accurate and appropriate reimbursement for both inpatient and outpatient services.

CEUs:  2    2 AHIMA    2 AAPC
Included in eLearning Library. Price per person. Group rates available.

Courses available for individual purchase or purchase both courses together and save!

This two course bundle will help Coders, Clinical Documentation Improvement Specialists and other key actors in the hospital revenue cycle understanding the complexities of the healthcare reimbursement system and their role in ensuring accurate and appropriate reimbursement for both inpatient and outpatient services.

Fundamentals of Reimbursement: Outpatient Services

  • How and when to apply HCPCS codes
  • Applying the appropriate coding guidelines for hospital outpatient reporting
  • Identifying OPPS reporting requirements
  • How to review and resolve coding edits such as Correct Coding Initiative (CCI) and Outpatient Code Editor (OCE)
  • How to differentiate various coverage determinations
  • How to assign appropriate modifiers

Fundamentals of Reimbursement: Inpatient Services

  • Recognize key definitions and features of the Medicare Severity-Diagnosis Related Groups (MS-DRGs) and All Patient Refined DRGs (APR) systems
  • Verify DRG assignment based on Inpatient Prospective Payment System (IPPS) definitions
  • Evaluate the impact of code selection on Diagnosis Related Group (DRG) assignment
  • Assign the present on admission (POA) indicator
  • Identify features of the Medicare Code Editor (MCE)
  • Recall the impact of assignment of the discharge disposition

Unlimited course access during enrollment period. Enrollment period for Fundamentals of Reimbursement: Hospital Services is 5 weeks.

The level of effort to complete this course bundle, start to finish, is equivalent to 2 CEUs and should take you approximately 2-6 hours to complete. Remember: You have access to the course materials for the full 16-week enrollment period and we encourage you to re-review any materials that are helpful to you.

Certificate of Completion
Upon successful completion of each course in the bundle, student will be able to download a Libman Education Certificate of Completion. The combined Certificates of Completion for the entire bundle will total 2 CEUs.

This program has been approved for continuing education units (CEUs) 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 program has the prior approval of AAPC for continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

  • WebinarPlus™ multimedia and interactive online course promotes engagement with challenging materials while offering independent self-study.
  • Teaching methods including audio and video files, diagrams, and animations to accommodate different learning styles. Where appropriate, the Merck Manual Professional Version supplements course materials with in-depth descriptions of diagnoses and/or procedures.
  • Knowledge checks and/or final assessment ensure mastery of material.
  • Online Flexibility! Materials available via secure Learning Management System (LMS). Work at your own pace — save time and travel costs.
  • Earn Libman Education Certificate of Completion and CEUs.
  • To receive CEU credit, students must achieve a passing rate on the course assessment(s).
  • Course is self-paced. For planning purposes, assume 1-3 hours required for each CEU.
  • Unlimited course access during enrollment period. For courses offering greater than one CEU, enrollment period is 16 weeks. For courses offering one or fewer CEUs, enrollment period is 4 weeks. Courses purchased as a bundle or package may have a longer enrollment period.
  • Extensions to the enrollment period are available. Contact Libman Education for pricing.
  • Price listed is per person/per course. Group rates available upon request.

Special pricing available for groups. Train your entire team!

How Many In Your Group? Group Discount %
1 Retail Price
2-4 5% Discount
5-20 10% Discount
21+ Contact Us for Your Custom Price Quote:
[email protected]

Angela Lima, BS, CCS, CDIP, COC, CIC, AAPC-Approved Instructor

Angela Lima applies a hands-on approach to her role as the Director of Education for Libman Education. Whether overseeing the work of subject matter experts including nationally recognized coding authorities; challenging instructional designers to deliver content in a way that is both engaging and memorable; or tapping her 25 years’ experience in inpatient, outpatient, and emergency room coding to write coder-friendly courses herself, Angela is responsible for ensuring that our training is accurate, easily accessible, and challenging.

Angela enjoys working individually with current students to answer their questions regarding course content and with prospective students to identify the appropriate curriculum to support their career objectives. Angela believes in the transformational power of education to help individuals achieve their personal and career goals and for organizations to achieve operating success.

Angela holds a bachelor’s degree in Healthcare Management and holds Certified Coding Specialist, Certified Documentation Improvement Practitioner from AHIMA as well as the Certified Inpatient Coder, Certified Outpatient Coder, and the Certified Professional Coder Instructor certifications from AAPC.

Sandy Macica, MS, RHIA, CCS

Sandy L. Macica is the former Director of Educational Content for Libman Education. Sandy is an experienced educator and coder with particular experience in developing online training for hospital coders in ICD-10-CM, ICD-10-PCS, and CPT® coding as well as coding certification exam preparation. Sandy is an enthusiastic presenter on all things coding and often speaks on complex coding topics for professional organizations and healthcare clients. Sandy is a long-time member of New York HIMA and was honored to receive the NYHIMA Distinguished Member Award in 2018. 


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