Availity Learning Center

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Evaluation and Management (E/M) services account for 30% of the revenue paid by Medicare for all physician services. For many specialties, E/M codes account for 60-70% of total revenue. Maximum reimbursement depends on understanding to rules regulated to these services. This session outlines the rules related to major categories of E/M service.   About the Speaker This course is hosted by Betsy Nicoletti, co-founder of Codapedia.com, a wiki devoted to physician reimbursement. As a certified coder, Betsy simplifies complex coding rules for practitioners and engages physicians in a positive and respectful way, which encourages attention and accuracy in their coding. Besides doing auditing and compliance work, she is a speaker, writer and consultant in coding education, billing and accounts receivable management.   CEU 2 AAPC CEUs (can be earned through September 30, 2020)   Important Notes Recorded August 3, 2016. Availity cannot issue refunds. This program has the prior approval of AAPC for up to two continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.   Special Purchasing/Volume Discounts Like this course? This is course two of a five-part series: The Confident Coder Series with Betsy Nicoletti. To learn about the other courses in the series, click here. Read More

Physician services are paid based on CPT and HCPCS codes, when medical necessity is supported by the ICD-10 code. Simple, until you factor in rules related to place of service, modifiers, NCCI edits, global payments, and coverage determinations. This is an essential primer for new staff and providers.   About the Speaker This course is hosted by Betsy Nicoletti, co-founder of Codapedia.com, a wiki devoted to physician reimbursement. As a certified coder, Betsy simplifies complex coding rules for practitioners and engages physicians in a positive and respectful way, which encourages attention and accuracy in their coding. Besides doing auditing and compliance work, she is a speaker, writer and consultant in coding education, billing and accounts receivable management.   CEU 2 AAPC CEUs (can be earned through September 30, 2020)   Important Notes Recorded August 1, 2016. Availity cannot issue refunds. This program has the prior approval of AAPC for up to two continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.   Special Purchasing/Volume Discounts Like this course? This is course one of a five-part series: The Confident Coder Series with Betsy Nicoletti. To learn about the other courses in the series, click here. Read More

Meet the periodic HIPAA training requirement with this on-demand course for mental health audiences. Hosted by industry expert Mike Sacopulos, attendees will learn ways to remain HIPAA-compliant while protecting patient privacy and avoiding fines from The Office for Civil Rights.   This course covers The Office for Civil Rights HIPAA patient safety Physical safeguards Common breaches and fines Cybersecurity and data encryption Ransomware, malware, and spearphishing Social media and texting risks Business associate risks Employee breach of data The 2019 horizon for HIPAA/patient privacy   By completing/passing this course, you will attain the certificate 2019 HIPAA Privacy and Security Training. Click here for our HIPAA brochure.   About the Speaker This course is hosted by Mike Sacopulos, CEO of Medical Risk Institute (MRI) and General Counsel for Medical Justice Services. In 2012, he won the Edward B. Stevens ‘Article of the Year’ Award for MGMA and had a Top 10 article of 2014 on Medscape. He attended Harvard College, London School of Economics and Indiana University/Purdue University School of Law.   Important Notes For auditing purposes, you must register individually and complete the assessment to be considered HIPAA-trained. Recorded June 2019. Availity cannot issue refunds.   Special Purchasing/Volume Discounts To purchase this course for multiple staff members or to take advantage of our volume discount for over 100 registrations, contact AvailityLearning@availity.com.   For assistance, review our Frequently Asked Questions or contact us at AvailityLearning@Availity.com. Read More

Meet the periodic HIPAA training requirement with this on-demand course for general medical audiences, including primary care physician offices, pediatric offices, health systems, and more. Hosted by industry expert Mike Sacopulos, attendees will learn ways to remain HIPAA-compliant while protecting patient privacy and avoiding fines from The Office for Civil Rights.   This course covers The Office for Civil Rights HIPAA patient safety Physical safeguards Common breaches and fines Cybersecurity and data encryption Ransomware, malware, and spearphishing Social media risks Texting risks Business associate risks Employee breach of data The 2019 horizon for HIPAA/patient privacy   By completing/passing this course, you will attain the certificate 2019 HIPAA Privacy and Security Training. Click here for our HIPAA brochure.   About the Speaker This course is hosted by Mike Sacopulos, CEO of Medical Risk Institute (MRI) and General Counsel for Medical Justice Services. In 2012, he won the Edward B. Stevens ‘Article of the Year’ Award for MGMA and had a Top 10 article of 2014 on Medscape. He attended Harvard College, London School of Economics and Indiana University/Purdue University School of Law.   Important Notes For auditing purposes, you must register individually and complete the assessment to be considered HIPAA-trained. Recorded June 2019. Availity cannot issue refunds.   Special Purchasing/Volume Discounts To purchase this course for multiple staff member or to take advantage of our volume discount for over 100 registrations, please contact AvailityLearning@Availity.com.   For assistance, review our Frequently Asked Questions or contact us at AvailityLearning@Availity.com. Read More

There's a whole lot of texting going on out there! But what are the rules? Can I text my patients? What kind of information can I send? What are the pitfalls? What about social media? What can I post? How should I respond to a negative post? Join Michael Sacopulos as he shares the guidelines from the Office for Civil Rights, the 7 Keys to Safe Text, and the 5 Keys to Safe Social Media Use.   Audience  Providers and Staff   About the Speaker This course is hosted by Mike Sacopulos, CEO of Medical Risk Institute (MRI) and General Counsel for Medical Justice Services. In 2012, he won the Edward B. Stevens ‘Article of the Year’ Award for MGMA and had a Top 10 article of 2014 on Medscape. He attended Harvard College, London School of Economics and Indiana University/Purdue University School of Law.   Important Notes Recorded April 2019. Availity cannot issue refunds.   Special Purchasing/Volume Discounts If you are interested in purchasing this course for multiple staff member or want to take advantage of our volume discount, please contact AvailityLearning@availity.com for assistance.   For assistance, review our Frequently Asked Questions or contact us at AvailityLearning@Availity.com. Read More

Do you need to understand the revenue cycle? Is this an area you want to become an expert in or increase your knowledge base?  Some modules might better meet your needs depending on where you are in your performance related to the revenue cycle. Click the course titles listed in this description to purchase individually - $49 each. If you’re a manager involved in the revenue cycle, these courses are effective in educating new staff or meeting targeted educational gaps for experienced staff. These online courses are fun, interactive and include assessments.   1. EXPLORING THE REVENUE CYCLE LANDSCAPE - $49 Employers have watched health care costs increase over the past twenty years. Then they shifted part of those costs to employees’ premiums. This increase also impacts your practice. Patients have higher co-pays and deductibles, and you have to collect these to pay for your costs and services. Elizabeth Woodcock guides you through the revenue cycle including planning, prepping, and being accurate. 2. ACQUIRING A FINANCIAL CLEARANCE - $49 Financial Clearance may seem like a winding path with no end. In this module learn the basics of financial responsibility and bill collecting. Learn about coinsurance, copayment, out-of-pocket maximum, non-covered services, and premiums and then learn how to calculate payment due. Join Elizabeth Woodcock for a journey down the financial clearance path. 3. CODING AND CAPTURING CHARGES ACCURATELY - $49 What do you do after the patient is registered and benefits are confirmed? Continue gathering information. Learn about procedure codes (CPT), diagnosis codes (ICD-10-CM), and HCPCS and the importance of grouping them. Join Elizabeth Woodcock for an exercise in documentation. 4. COLLECTING PAYMENTS FROM INSURANCE - $49 What happens after the charges are sent to the payer? What is your job in this part of the revenue cycle? How do you make sure this doesn't get left unattended? Learn about payer responses, CARCs and RARCs and how to manage the process. Follow Elizabeth Woodcock down the collections path for your practice. 5. NAVIGATING PAYER CONTRACTS AND AGREEMENTS - $49 Contracts and appendices, provider manuals, fee schedules, disputes – how does a provider navigate these challenges? Elizabeth Woodcock guides you through the challenges of contracts and agreements. 6. WINNING WITH KEY PERFORMANCE INDICATORS - $49 What skills do you need to win the race? You need to know how you are performing, how you can get better, and how to learn from the best. Learn about receivables, credits, denials, collections, revenue, and much more. Join Elizabeth Woodcock in learning about key performance indicators for your business. 7. COLLECTING PAYMENTS FROM PATIENTS - $49 Patient collections has changed fundamentally for the provider in the last few years. Learn how to put new techniques to work to support your practice’s bottom line. Elizabeth Woodcock guides you through the skills needed to successfully collect from patients. Important Notes These courses are on managing the revenue cycle in a physician's office. They are not specific to the Availity RCM product. Availity cannot issue refunds. Read More

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