CPT: Hospital Outpatient Revenue Cycle




This two hour module is a prerequisite to our other hospital-based CPT coding modules. It introduces the concept of hospital outpatient revenue cycle, including hard and soft coding, outpatient bill presentation, revenue codes, payer mix, and the outpatient prospective payment system (OPPS). The module rounds out instruction with a listing of official coding resources for the hospital outpatient coding setting, instruction on how to use the Medicare Coverage Database, and a description of the agencies employed by CMS to audit and investigate Medicare fraud and abuse.


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