UNIVERSITY PRIVACY AND CONTRACTING OFFICE

Billing Compliance Presentations

Earn Compliance Credit

TUMG Physicians and Staff may earn one (1) compliance credit for each presentation viewed.  To earn credit, print and complete the quiz then fax to 504-988-7777.  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 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 the University Compliance Coordinator at 504-988-7721.

Mandatory Training

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.
Quiz

Health Care Compliance Policy Manual--Review manual.  Print Appendix 3 (page 13), sign, and fax to 504-988-7777.
Available for compliance credit ONE time only unless significant changes are made in the manual.

Documenting Outpatient Visits (E/M Coding)

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

Part 2: Documenting a History--Learn the four levels of history and what elements must be documented
Handout/Quiz

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

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

Part 5: Documenting Initial Consults--Learn the 3 "R's" of consults.  Medicare/Commercial and Medicaid guidelines reviewed.
Handout/Quiz

Part 6: Documenting Pre-Op & Confirmatory Consults--Learn guidelines for these types of consults. Medicare/Commercial and Medicaid rules reviewed.
Handout/Quiz

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

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

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

ICD-9: Diagnosis Coding

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

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

General Compliance Presentations

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

Fraud and Abuse--Definitions and examples of fraud and abuse and penalties for infractions.
Quiz

TUMG Documentation Top 10--Countdown of 10 important issues that affect level of service and reimbursement.
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.

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.
Handout/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.
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.
Follow website instructions for registering for a course and for generating a certificate/proof of completion.  Fax information to the University Privacy and Contracting Office: 504-988-7777.

LAMedicare Web-Based Training--TUMG Physicians earn CME credits in addition to compliance credits for completing any of the training modules.
Credit is awarded when the certificate of completion is faxed to the University Privacy and Contracting Office: 504-988-7777