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Tulane University Medical Group Faculty Practice Plan
Billing Compliance Presentations
Earn Compliance Credit

TUMG Physicians and Staff may earn one (1) compliance credit for each presentation viewed.
To earn credit, print the quiz, complete the quiz and fax to 504-988-7777. (Quiz is set-up as a fax.)
A grade of 70% or higher earns one compliance credit.

All compliance presentations are presented in PowerPoint and/or Acrobat Text File Format
To view the presentations, PowerPoint and Acrobat applications are required.
The Acrobat file must be printed to obtain the quiz and earn compliance credit.

Problems with viewing/printing any of these presentations should be reported to
Charlotte Corbin 504-988-7721 (Office of the University Privacy and Contracting Officer)
ccorbin@tulane.edu

Documenting Outpatient Visits
(E/M Coding)
ICD-9
Diagnosis Coding

Part 1: Overview of Basic Coding Principles
This presentation provides an overview of the basics of outpatient visit coding.

PowerPoint Handout/Quiz

Part 1: ICD-9 (Diagnosis) Coding Guidelines
This presentation reviews diagnosis coding guidelines for outpatient visits.

Handout/Quiz

Part 2: Documenting a History
Learn the four levels of history and what elements must be documented.

Handout/Quiz

Part 2: V-Codes (Status Codes) Guidelines
Learn the four categories of V-codes, when and how to use them.

Handout/Quiz

Part 3: Documenting an Exam
Learn the four levels of exam and what elements must be documented.

Handout/Quiz

General Compliance Presentations

Part 4: Documenting Medical Decision Making
Learn the four levels of MDM and what elements must be documented.

Handout/Quiz

Overview of Health Care Laws
Learn about Stark, Anti-Kickback, False Claims and Sarbanes-Oxley Laws

PowerPoint Quiz

Part 5: Documenting Initial Consults
Learn the 3 “Rs” of Consults. Medicare/Commercial and Medicaid guidelines reviewed.

PowerPoint Handout/Quiz

Fraud and Abuse
Definitions and examples of Fraud and Abuse and penalties for infractions.

PowerPoint Quiz
Part 6: Documenting Pre-Op & Confirmatory Consults
Learn guidelines for these types of consults. Medicare/Commercial and Medicaid rules reviewed.
PowerPoint Handout/Quiz
TUMG Documentation Top 10
Countdown of 10 important issues that affect level of service and reimbursement.

PowerPoint Handout/Quiz

Part 7: Documenting Time-Based Codes
Learn what elements must be documented to support a time-based code.

PowerPoint Handout/Quiz

How Much Do You Know About E/M Coding?
For physicians and staff who wish to “test out,” this quiz only option is available.

Quiz

Part 8: Linking to Resident Notes
Linking to resident notes can affect level of service and reimbursement. Learn the rules.

PowerPoint Quiz

Medicare ABNs (Advance Beneficiary Notices)
Learn when to let your patients know that Medicare may not cover their services, and what services will not be covered by Medicare.

PowerPoint Handout/Quiz

Part 9: Modifiers -24 and -25
These two modifiers can affect reimbursement. Learn when and how to use them.

PowerPoint Quiz

Federal False Claims Act (Whistleblower)
To provide information to Tulane University Faculty and Staff Employees about their rights to protection under the Deficit Reduction Act of 2005.
Available for Compliance Credit ONE TIME ONLY unless significant changes are made in the law

PowerPoint Quiz

 

  Hands-on HIPAA (Medical Privacy of Protected Health Information)
Clarification of the Privacy Rule's protections for personal health information, and permitted disclosures needed for patient care and other important purposes.

PowerPoint Quiz
 

Web-Resources and Links

Link to CMS-Medicare Training – US Government Website – Completion of courses that are over one hour in length will result in 2 compliance credits earned.
http://cms.meridianksi.com/kc/main/kc_frame.asp?kc_ident=kc0001&loc=1
Follow website instructions for registering for a course and for generating a certificate/proof of completion. Fax information to the Office of the University Privacy and Contracting Officer: 504-988-7777

LAMedicare Web-Based Training (TUMG Physicians earn CME credits in addition to compliance credits for completing any of the training modules.)
http://www.lamedicare.com/provider/wbt/login.asp
Credit is awarded when the Certificate of Completion is faxed to the Office of the University Privacy and Contracting Officee: 504-988-7777

Link to Health Care Compliance Policy Manual
http://www.som.tulane.edu/fpp/pdfdocs/healthcare.pdf

 

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