UNIVERSITY PRIVACY AND CONTRACTING OFFICE

Billing Compliance Presentations

Earn Compliance Credit

Please note: Compliance presentations, quizzes, and handouts listed below are no longer applicable towards fulfilling TUMG billing education requirements. As of July 1, 2011, billing compliance education is now under the supervision and direction of the Billing Compliance Educator and Audit Specialist.

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.
  
  
• Part 2: Documenting a History--Learn the four levels of history and what elements must be documented
  
  
• Part 3: Documenting an Exam: 1995 Guidelines--Learn the four levels of exam and what elements must be documented.
  
  
• Part 4: Documenting Medical Decision Making--Learn the four levels of MDM and what elements must be documented.
  
  
• Part 5: Documenting Time-Based Codes--Learn what elements must be documents to support a time-based code.
  
  
• Part 6: Linking to Resident Notes--Linking to resident notes can affect level of service and reimbursement.  Learn the rules.
  

ICD-9: Diagnosis Coding

• Part 1: ICD-9 (Diagnosis) Coding Guidelines--This presentation reviews diagnosis coding guidelines for outpatient visits.
  
  
• Part 2: V-Codes (Status Codes) Guidelines--Learn the four categories of V-codes, when and how to use them.
  

General Compliance Presentations

• Overview of Health Care Laws--Learn about, Stark, Anti-Kickback, False Claims, and Sarbanes-Oxley Laws.
  
  
• Fraud and Abuse--Definitions and examples of fraud and abuse and penalties for infractions.
  
  
• 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.
  
  
• 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.
  
  
• Staff Compliance Education for TUMG HIPAA Clinics--(Staff Employees ONLY) HIPAA & HITECH Compliance training for TUMG clinic staff, NOT for Physicians.
  

Web-Resources and Links

• CMS-Medicare Training - US Government Website - 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--