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Physician Practice Education
(Show All):
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ABN - Advanced Beneficiary Notice [0.2 CEU]
This course is designed to help you understand how, when and why to obtain an ABN (Advanced Beneficiary Notice). Medicare and your Fiscal Intermediaries have coverage determinations for specific tests and services that were created to give us guidelines on what is considered medically necessary. You will learn how to interpret these coverage determinations. CMS has created a new format for the ABN, and you will receive step by step instructions on how to complete and issue these forms. The three lessons in this course include: 1) Basic Guidelines & Policy; 2) Screening and Medical Necessity; 3) Review of ABN Form
Upon completion of this course, you will be able to:
- Define ABN
- Understand and use the new ABN form
- Describe the procedure on obtaining an ABN, what services may require an ABN and what the specific billing requirements are when an ABN is issued
Course Length: 1 hour 40 minutes
Cost: $27.00
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Advanced Customer Service [0.1 CEU]
Is your facility providing "OK" customer service; or, would you be ranked as a GREAT provider? Providing GREAT customer service is not an easy task. Thousands of dollars are expended every year on retaining customers while, many times, little attention is being paid to the effect that poor "internal customer service" is having on your external customers. Serving customers is not limited to serving your patients. Donna Meeks, Customer Service Specialist, reviews the key elements in stepping up your customer service, beginning in-house with your employees and team. The two lessons in this course include: 1) Building TEAM Internally and 2) Turn Employee Burnout Into Employee Motivation
Upon completion of this course, you will be able to:
- Describe how internal customer service has a direct impact on external customers
- Review the key attributes an employee displays in building a strong team relationship
- Explain skills to reduce conflict between team members
Course Length: 45 minutes
Cost: $18.00
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CMS 1500 Version 08/05 [0.1 CEU]
The CMS 1500 is the Medicare approved health insurance claim form used to bill physician services. With the new NPI regulations, the National Uniform Claim Committee has updated the CMS-1500 with version 08/05. This course is a must take for anyone who uses the CMS 1500 for billing. The four lessons in this course include: 1) CMS 1500, Version 08/05; 2) Filling out the 1500, Items 1-13; 3) Filling out the 1500, Items 14-23; and 4) Completing the Form, Items 24-33.
Upon completion of this course, you will be able to:
- Explain the background of the CMS 1500
- Recite step by step instructions for filling out the CMS 1500
- Describe the need for Point of Service codes
- Explain the format and rules related to punctuation and abbreviations
- Complete the CMS 1500 for billing physician services provided in clinics, hospitals, nursing homes and at the patient’s home
Course Length: 1 hour
Cost: $18.00
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Dealing with the Difficult FV [0.1 CEU]
Difficult people are much more than mere challenges. They can increase turnover, destroy morale, and even spark employee lawsuits.
Having to handle or cope with the negative attitudes of difficult employees at work can hurt your productivity and profitability, cause stress and simply make life miserable.
In this invaluable course, you’ll learn what it takes to not only co-exist with difficult employees, bosses, patients and co-workers, but to also understand, identify and deal effectively with their impossible behaviors through improving your conflict/resolution skills.
COURSE OUTCOMES -- Upon completion of this course, you will be able to:
- Define difficult coworkers and put into action strategies that will change the bad situation into to a good one.
- Recognize health issues that cause patients to be difficult to deal with.
- Implement “Do’s & Don’ts” in our everyday relationships with the difficult patients that will result in positive outcomes for both facility staff and patient.
- Whether with coworker or patient, demonstrate conflict-resolution skills that transform negative behaviors into positive ones.
- Identify negative procedures in the workplace that result in negative attitudes.
- Discuss 10 positive workplace behaviors and evaluate the positive impact that those behaviors have on staff.
Course Length: 1 hour
Cost: $18.00
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Denial Management [0.1 CEU]
This Denial Management course is designed to give you the understanding of how important a strong Denial Management program and team is to your facility. It outlines ways to track denials and recognize when an appeal should be filed.
Upon completion of this course, you will be able to:
- Define the role of the Denial Management Team
- Explain how denials affect most every department in your facility
- Set up your own Denial Management Team
- Track and monitor denials
- Utilize the appeal process more effectively
Course Length: 55 minutes
Cost: $18.00
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Everything you need to know about Medicare Appeals [0.1 CEU]
The objective of this course is to give you a deeper understanding of the Office of Medicare Hearings and Appeals including information on the 5 levels of appeal, the ALJ Hearing Process, and much more. All information contained in this course is extracted exclusively from Chapter 29 of the CMS policy manual. All forms are included in the Digital Library.
COURSE OUTCOMES -- Upon completion of this course, you will be able to:
- Identify each party involved in a Medicare appeal.
- Explain the 5 steps in the Medicare appeal process.
- Determine when and how to request a hearing.
- Prepare for each step in the Medicare Appeal Hearing.
Course Length: 40 minutes
Cost: $50.00
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Health Insurance Basics [0.1 CEU]*
Insurance language and insurance claims procedures can be confusing and hard to understand. This course will teach you more about insurance basics, from general definitions to types of insurance plans, as it applies to patient access services.
Upon completion of this course, you will be able to:
- Define the terms: Beneficiary, Subscriber, Guarantor & Payer
- Review the 3 types of insurance
- Assess managed care plans
- Explain timely filing & EOB
- Understand workman's compensation rules
- Explain the birthday rule as well as determine which insurance is primary
- Define precertification and/or preauthorization and explain when it is needed
- Explain the differences in the Blue Cross plans
Course Length: 1 hour
Cost: $18.00
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Healthcare Compliance Overview [0.1 CEU]
How does a healthcare provider evaluate the level of compliance in their practice or facility? Actually, it is easy. This Healthcare Compliance Overview addresses the following questions:
1) Who is the compliance officer? Who are the regulatory agencies that we must comply with?
2) What type of compliance plan does the provider work from? What does it include?
3) When is the compliance plan updated/reviewed? When are assessments completed?
4) Where is the compliance plan? Everyone knows it exists; but, no one seems to know where it is!
This course also covers many of the CMS rules and regulations that drive healthcare compliance including the False Claims Act, Anti-Kickback Statutes, Stark Law, MIP, RAC's and MAC's.
Upon completion of this course, you will be able to:
- Discuss methods to achieve compliance in your facility
- Describe factors the OIG considers critical to plan effectiveness
- Define fraud and abuse
- Explain Compliance Strategies
Course Length: 30 minutes
Cost: $18.00
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HIPAA Basic Training*
The Health Insurance Portability and Accountability Act (HIPAA) was established primarily to protect confidentiality, including the privacy and security of patient health information. HIPAA regulations require everyone in the health care field to be trained in order to understand the seriousness of the law and the penalties for non-compliance. This course provides a great overview of both HIPAA Privacy and HIPAA Security. Join this course now to learn more about PHI and ePHI.
Upon completion of this course, you will be able to:
- Discuss the importance of HIPAA privacy and security practices
- Describe the rules and regulations for PHI and ePHI
- Evaluate the level of security awareness that HIPAA requires
Course Length: 30 minutes
Cost: $10.00
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HIPAA Privacy [0.1 CEU]
With the enactment of HIPAA's Standards for Privacy of Individually Identifiable Health Information, the responsibility to keep certain health information secure, confidential, and private became a legally enforceable responsibility of your facility and its employees. In order for your facility to be successfully compliant, all employees must know and understand their responsibilities with regards to privacy and confidentiality.
Upon completion of this course, you will be able to:
- Apply privacy standards brought about by the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule
- Identify the medical record as protected and confidential information
- Apply the hospital's policy on patient confidentiality
- Recognize examples and repercussions of patient-confidentiality breaches
- Identify what information can be released without prior approval from the patient
Course Length: 30 minutes
Cost: $10.00
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HIPAA Security [0.1 CEU]
Protecting patient privacy is the key to your facility's HIPAA initiatives. Security is vital to protecting the privacy of electronic protected health information (ePHI). Your facility's policy and code of conduct emphasize the importance of this and of HIPAA.
Upon completion of this course, you will be able to:
- Recognize what the HIPAA Security Rule requires at your facility
- Identify where to go for questions and answers
- Define the basic security concepts at your facility
- Apply security "best practices" to safeguard electronic protected health information (ePHI)
- Apply security policies related to your job
- Recognize that all staff play a role in protecting ePHI
Course Length: 30 minutes
Cost: $10.00
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How to Be A Customer Service Superstar [0.1 CEU]*
The health care environment demands a professional staff. How to Be A Customer Service Superstar! will help you take a step back and look at the image that you are portraying to your customers. The people we serve, both in-house such as co-workers and guests including patients and visitors, are our customers that deserve our best. The four lessons in this course include: 1) How To Present a Positive Image; 2) Stress Management; 3) Managing the Difficult Customer; and, 4) Mastering the Superstar Skills.
Upon completion of this course, you will be able to:
- Analyze workplace success skills and evaluate where improvement is needed
- Assess and rate your positive relationship skills, communication skills and ability to assist customers
- Evaluate personal communication skills and pin-point areas in need of improvement
Course Length: 1 hour
Cost: $18.00
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Infection Control - The Basics [0.1 CEU]
All healthcare workers need to know how to prevent and control diseases. The Occupational Safety and Health Administration and The Joint Commission require training to ensure that all personnel can protect themselves from exposure to infectious agents. The goal of your facility is to prevent exposure and spread of infections to patients, visitors, volunteers, contractors, students, and staff.
Upon completion of this course, you will be able to:
- Identify hazards of infectious diseases in the workplace and tactics to reduce exposure
- Recognize major infectious diseases that may be present in your facility
Course Length: 30 minutes
Cost: $10.00
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Infection Control Plan [0.1 CEU]
This course includes information about the JCAHO requirements as they relate to Infection Control Procedures. Knowledge of the Infection Control Plan helps the learner apply the controls available and play a major role in disease prevention. This annual required training covers topics such as applying safe work practices and hand-washing techniques, recognizing biohazard signs, and selecting the correct actions to take in the event of accidental exposure.
Upon completion of this course, you will be able to:
- Apply safe work practices and hand-washing techniques
- Recognize biohazard signs
- Select the correct actions to take in the event of accidental exposure
Course Length: 30 minutes
Cost: $10.00
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Insurance Follow Up [0.1 CEU]
This course teaches the more experienced biller how to follow up on unpaid claims. We have put a question to every answer the insurance company or third party payer can give you with ways to successfully obtain payment on an account.
Upon completion of this course, you will be able to:
- Effectively collect payments from insurance companies
- Follow up on claims more efficiently
- Increase your facility's revenue by using your improved knowledge for handling claims and complications
Course Length: 1 hour 15 minutes
Cost: $18.00
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Managed Care Basics by SHP [0.2 CEU]
Managed care is the coordination and the arrangement of health services that links together medical care with the managed care organization and payer that offers the covered benefits. This course, prepared by Strategic Healthcare Partners (SHP), consists of five basic lessons to teach you the idea and flow of the contract process and how it can benefit and protect your facility. These lessons were designed for staff members that are new to the Business Office, Registration, or anyone who wants to learn more about basic managed care principles.
1) Managed Care 101 - The Basics
2) Managed Care 102 - Where Do I Fit In?
3) Managed Care 103 - Implementing A New Managed Care Contract
4) Managed Care 104 - Part 1 Addressing Internal Issues
5) Managed Care 104 - Part 2 Addressing Internal Issues
Upon completion of this course, you will be able to:
- Define Managed Care and cite the types of managed care plans.
- Explain how managed care plans fit into the revenue cycle.
- Explain why facilities need managed care contracts and the steps to successful contracting.
- Examine and solve internal issues with managed care contracting that affect rural facilities.
Course Length: 1 hour 30 minutes
Cost: $18.00
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Medical Terminology [0.1 CEU]
Medical terminology, used every day in the health care setting, can seem like a foreign language. This course will teach you the basics of medical terminology. You will learn the 3 basics of medical word structure and how to determine meanings by breaking down the words. You will be able to understand the language of the medical community and participate in the communication among medical staff in a new way. You will also learn medical abbreviations. Your knowledge of medical terminology will not only increase your understanding but will allow you to help your patients understand what to expect with the care they are receiving.
Upon completion of this course, you will be able to:
- Recite the 3 main elements of medical terms
- Define common medical terms
- Determine medical terms with different body systems
- Identify medical abbreviations
Course Length: 1 hour
Cost: $18.00
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Medical Terminology II [0.1 CEU]
If you enjoyed our course on Medical Terminology, it’s time to learn more! In Medical Terminology II, you will freshen up your memory of the basics and learn more about the terminology of medicine. In this course, we have added Eponyms, Measurements, Temperature conversions and more. Practice deciphering medical terms and learn more definitions for the building blocks of medical terminology. Work on becoming an expert at understanding the language of medicine in this fast paced, fun course! In this course, we will cover: 1) The Basics; 2) Prefixes and Suffixes; 3) Practice Makes Perfect; and, 4) Weights, Measures and More.
Upon completion of this course, you will be able to:
- Explain the building blocks of medical terminology
- Understand combining vowels and pronunciation of words
- Complete Fahrenheit to Celsius conversions
- Utilize conversion tables for metric to non-metric measurements
- Recognize descriptive medical terms and eponyms
- Decipher more medical terms than ever before
Course Length: 1 hour
Cost: $18.00
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Personal Protective Equipment
OSHA requires employers to use personal protective equipment (PPE) to reduce employee exposure to hazards. PPE is designed to protect you from serious workplace illnesses. This course outlines how to protect yourself from exposure to infectious materials by utilizing the proper personal protective equipment on the job.
Upon completion of this course, you will be able to:
- Select and use proper personal protective equipment
- Remove and dispose of personal protective equipment properly
Course Length: 20 minutes
Cost: $10.00
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RAC Inside Out, A Look Inside Medicare’s Recovery Audit Contractors [0.1 CEU]
RAC (Recovery Audit Contractors): an inside out view, extracted exclusively from the RAC Statement of Work. Congress passed legislation to allow Medicare to contract with RAC auditors to find improper payments. Besides finding improper payments, their goal is to improve claims processing and provider education to prevent improper claims initially. What does this mean for you and your facility? After taking this course, you will have a complete knowledge of the RACs Statement of Work.
COURSE OUTCOMES -- Upon completion of this course, you will be able to:
- Discuss the CMS Regulations that govern the Recovery Audit Contractors.
- Describe a reasonable and necessary service.
- Know the difference between automated and complex reviews.
- Identify and set up processes for managing RAC medical record requests.
- Explain the RACs settlement and pay back processes.
Course Length: 35 minutes
Cost: $50.00
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Remittance Advice, Cash Posting & Credit Balances [0.1 CEU]
Remittance advices differ from payer to payer. In this course, you will be taught how to understand these remittance advices. Our desire is that you learn how to understand them and understand what has to be posted into your patients' accounts. You will also learn how to properly work your credit balance report with a focus on the Medicare Credit Report.
Upon completion of this course, you will be able to:
- Read Remittance Advices from multiple payers
- Decide which information on these remittances needs to be posted into a patient’s account
- Research credit balances on your patients' accounts with a focus on Medicare Credit Balance
Course Length: 1 hour 10 minutes
Cost: $18.00
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Restraint & Seclusion - General Information
The use of restraint is high-risk and potentially harmful. It is intended to be used only when other alternatives have not been successful or are clearly unlikely to succeed in preventing injury to a patient or others. Seclusion is the involuntary confinement of a person in a locked room. Seclusion is not used at this facility.
Upon completion of this course, you will be able to:
- Use alternative measures instead of restraint
- Use the proper procedures and policies for restraint on patients admitted to our facility
Course Length: 20 minutes
Cost: $10.00
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Restraint Use [0.1 CEU]
Because of the high-risk nature of using restraints, it is important that employees be educated in their safe and effective use. They must know how to assess whether or not restraints are necessary, as well as what kind is appropriate, and how to safely use it.
Upon completion of this course, you will be able to:
- Evaluate whether restraints are necessary for a patient
- Name the types of restraint available
- Apply appropriate restraint techniques
- Ensure patient safety when using restraints
Course Length: 30 minutes
Cost: $10.00
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Telephone Etiquette [0.1 CEU]
Whether you're answering the phone or making phone calls, using proper etiquette is a must in order to maintain a certain level of professionalism. Proper etiquette leaves callers with a favorable impression of you, your department and your facility. When you apply the guides that are taught in this course, you'll find that others treat you with more respect and are willing to go out of their way to assist you. The two lessons in this course include: 1) Greeting and Helping Our Customers; 2) Communication - Getting the Message Across.
Upon completion of this course, you will be able to:
- Demonstrate improved practices in managing internal and external customers through telephone communication.
- Apply etiquette principles that will help win and keep customers.
Course Length: 30 minutes
Cost: $10.00
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Tools & Topics for RAC Team Meetings [0.1 CEU]
This course will provide tools and topics for your RAC Team meetings, to help your RAC Team take care of your facility’s pre-audit and post audit needs. This course will give you a well defined overview of what the RAC is looking at and why. It covers over 10 key topics including examples and explanations. There are no issues under an audit that have not been explained through CMS educational tools. The Digital Library includes tracking tools, additional examples, and a handful of articles chosen from hundreds that are the most important topics for the RAC Team.
COURSE OUTCOMES -- Upon completion of this course, you will be able to:
- Utilize the CMS educational arm that informs providers of CMS policy changes and other pertinent updates.
- Explain the key RAC issues including MUE’s, placement orders, and extrapolation which are mentioned numerous times in the program integrity manual, office of the inspector general’s reports, government accountability office reports, and the RAC statement of work.
- Explain the target issues, including once in a lifetime procedures.
- Utilize MLN Matters weekly for updates to prevent billing errors.
Course Length: 55 minutes
Cost: $50.00
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Your Role in the Revenue Cycle [0.1 CEU]*
This course is designed for all business office staff and will explain the role you play in the revenue cycle in addition to helpful suggestions for improving your facility's revenue cycle. The four lessons in this course include: 1) What Role Do you Play in the Revenue Cycle?; 2) The 4 C's of The Revenue Cycle Team; 3) Methods to Improve Revenue Cycle Results; and 4) Payment Systems within the Revenue Cycle
Upon completion of this course, you will be able to:
- Outline the key areas of the Revenue Cycle
- Apply the 4 C's of the Revenue Cycle Team and demonstrate being a team player
- Utilize proven methods to improve results
- Support the "Do It Right The First Time" mentality
Course Length: 50 minutes
Cost: $18.00
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