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| Coding And Billing - Differences And Similarities | |
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| The Purpose of Coding and Billing | |
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| The Importance of Accurate Data in the Healthcare Environment | |
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| Case Studies | |
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| Coding Compliance | |
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| Defining Fraud and Abuse | |
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| Complying with Regulations | |
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| "Official" Coding Guidelines | |
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| Federal Regulations. | |
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| Payer Guidelines | |
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| Coding Guidance from Professional Associations | |
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| Coding "Behavior" | |
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| Standards of Ethical Coding | |
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| Exercises and Questions for Discussion | |
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| The Importance Of Documentation | |
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| Documentation as the Key Resource | |
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| Documentation Standards | |
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| The Purpose of the Encounter Form | |
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| Templates | |
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| Querying - A Process Within a Process | |
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| Corrections in the Medical Record | |
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| Exercises and Questions for Discussion | |
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| Coding And Medical Necessity | |
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| Defining Medical Necessity | |
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| National and Local Coverage Decisions | |
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| Advance Beneficiary Notices of Noncoverage (ABNs) | |
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| Billing for Medical Necessity | |
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| Coding Compliance Issues | |
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| Compliance Activities | |
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| Case Studies | |
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| Review Your Understanding | |
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| Developing A Coding Compliance Program | |
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| Integrating Coding and Corporate Compliance | |
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| Quality Coding and Accurate Claim Submission | |
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| OIG Compliance Guidelines | |
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| Developing Policies and Procedures | |
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| Staffing Coding Professionals | |
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| Exercises and Questions for Discussion | |
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| Auditing And Prevention | |
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| Assessing Areas of Risk | |
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| Sampling and Audit Methods and Design | |
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| Prospective and Retrospective Reviews | |
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| Auditing Tools | |
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| Auditing Resources | |
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| Results and Reports | |
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| Discovery | |
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| Reporting the Results | |
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| Assessing the Appropriate Preventive Measures | |
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| Education and Re-training | |
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| Benefits of a Well-Designed Program | |
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| Exercises and Questions for Discussion | |
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| Emerging Technologies | |
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| Encoders - Friend or Foe? | |
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| Automated Code Assignment Technology | |
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| Balancing Quality and Quantity | |
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| Case Studies | |