Course Code: REL-RCC-ICD10-CDREC
Hours: 0.5
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Describe the difference between waste, abuse, and fraud.
Recall ethical coding standards that govern a professional coder.
Recognize the significance of a medical record audit.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Waste, Abuse, and Fraud
Ethical Coding: Definitions of Waste, Abuse, and Fraud
Ethical Coding: Fraud and Abuse Laws
Review
Summary
Section 3: Ethical Coding General Principles
Ethical Coding: Coded Data
Ethical Coding: The Coding Professional
Ethical Coding: Hospital Specific Coding Guidelines
Ethical Coding: Provider Querying
Review
Summary
Section 4:Ethical Coding Standards
Ethical Coding: Code of Etthics
Ethical Coding: Unethical Practices
Review
Summary
Section 5: Medical Record Audits
Ethical Coding: Medical Record Audits
Ethical Coding: Medical Record Audit Contractors
Ethical Coding: Criminal Cases
Review
Summary
Section 6: Conclusion
Course Summary
Instructor: Jane Conway, RHIA, CCS, CRC, CDIP, CPhT, ICD-10-CM/PCS Trainer
Jane Conway is a Revenue Cycle, Coding, and CDI subject matter expert, content writer for Relias. She has ten years of experience in writing and maintaining ICD-10-CM/PCS eLearning curricula for inpatient and outpatient hospital settings. She is also an author and peer reviewer for other revenue cycle eLearning products. She has extensive knowledge in risk adjustment for CMS, HHS, and commercial payers. Jane has worked in healthcare for almost 30 years both in Health Information Management and pharmacy. Her pharmacy background adds a depth of knowledge to her courses. Jane is a Registered Health Information Administrator (RHIA), Certified Documentation Improvement Practitioner (CDIP), a Certified Risk Adjustment Coder (CRC), Certified Coding Specialist (CCS), and an AHIMA approved ICD-10-CM and ICD-10-PCS trainer. She is also a Certified Pharmacy Technician (CPhT). Jane earned a Bachelor's degree in Health Information Management from the State University of New York Polytechnic Institute where she was the recipient of the New York Health Information Management Association (NYHIMA) Academic Achievement Award.
Jane is active in NYHIMA, where she has served on the program planning committee and the education committee. Jane has also served as a credentials officer for NYHIMA. She recently was a keynote speaker at the NYHIMA annual conference and presented to both AAPC and CNYHIMA local meetings on several pertinent topics. She has also written several articles about new medical treatments for the NYHIMA newsletter.
Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Hospitals: Acute.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.