Learn to navigate the ‘ins and outs’ of reimbursement for outpatient services. Fundamentals of Reimbursement: Outpatient Services 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 services.
Fundamentals of Reimbursement: Outpatient Services
$59.00
CEUs: 1 1 AHIMA 1 AAPC
Included in eLearning Library. Price per person. Group rates available.Overview
Codes change yearly! We take seriously our obligation to provide you with accurate and up-to-date instruction. This course is updated for the 2025 code set.
Learn to navigate the ‘ins and outs’ of reimbursement for outpatient services. Fundamentals of Reimbursement: Outpatient Services 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 services.
- How and when to apply HCPCS codes including some specific modifiers
- Understand APC components and how APC reimbursement is determined
- Review and resolve coding edits such as Correct Coding Initiative (CCI) and Outpatient Code Editor (OCE)
- Differentiate between various coverage determinations
- Assign appropriate modifiers
Fundamentals of Reimbursement: Outpatient Services Syllabus
- Outpatient Reimbursement
- HCPCS code categories
- HCPCS alpha-numeric index
- Example
- Drugs
- General rules for assigning HCPCS
- HPCPS temporary codes
- Examples of level II C codes
- Recent examples of level II C codes
- HCPCS modifiers
- Other modifier uses examples
- APC System
- Payment files
- APC basics
- Packaging
- Composite APCs
- Status indicators
- Inpatient Only
- Addendum A and B
- Status Indicator Q3
- Discounting
- Revenue Codes
- Accurate Reporting
- Accurate reporting of outpatient services
- Key edit elements
- Outpatient code editor (OCE)
- National correct coding initiative (NCCI)
- NCCI: Example reading the edits
- Coverage determination
- NCD example
- Other Reimbursement Considerations
- Advance beneficiary notice
- Condition codes and the ABN
The level of effort to complete this course, start to finish, is equivalent to 1 CEUs and should take you approximately 1-3 hours to complete. Remember: You have access to the course materials for the full 4-week enrollment period and we encourage you to re-review any materials that are helpful to you.
Certificate of Completion
Upon successful completion of the course work, student will be able to download a Libman Education Certificate of Completion. The Certificate of Completion will list the course as awarding 1 CEUs.
AHIMA: 1 CEU
This course 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.
AAPC: 1 CEUs
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 training format promotes engagement with challenging materials while offering independent self-study.
- Downloadable and printable “Course Highlights” saves time! This active learning tool assists with mastery of the course content.
- 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.
- Price listed is per person/per course. Group rates available upon request.
“I’m pleasantly surprised at your response … really didn’t think I would receive anything at all, so, thank you! I believe that alone says a lot for Libman Education. I would recommend you to other coding professionals.” — Jennifer Jones, CPC
“LOVEEE Libman! Very happy with the classes I’ve taken.” — Linda C.
“I love the courses at Libman Education.” — Joanne S., CCS
“Any of Libman Education’s courses are worth time and cost. Always walk away with a useable, clarity or reinforcement of subject matter.”
“I greatly appreciate this support and outstanding customer service!” — former student
“Thanks again – you really make this easy and I appreciate how accommodating and understanding you are to meet our needs.” — Winnona V., MHA, RHIA, CDIP, CCS, CCS-P
“Thank you for all your help. Your team has always been open and dependable for clear advice and guidance. … [Y]our group has always shown they care about the student.” – former student
Required Resources:
Recommended Resources:
Train your entire team and Save Big! Discount automatically applied at checkout.
| 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 |
Reviews
There are no reviews yet.