• The importance of proper coding and billing for sleep centers;
• Key terminology used in procedure coding in sleep labs such as Evaluation and Management codes and codes used to report Polysomnography and other sleep studies;
• The role of CMS in policy and reimbursement and discuss Medicare policies;
• The different types of private insurance;
• Claim submission and reimbursement rates; and
• Compliance regulations such as, HIPAA and anti-kickback. 

Modules

1. ACEP - Introduction
2. ACEP – Procedure Coding for Sleep Medicine
3. ACEP – Diagnostic Coding for Sleep Medicine
4. ACEP – Evaluation and Management Coding - revised based on 2021 guidelines
5. ACEP – Public Insurers and Insurer Policies
6. ACEP – Private Insurers and Insurer Policies
7. ACEP – The Insurance Claim
8. ACEP – Establishing Efficient Coding and Billing Processes
9. ACEP – Reimbursement ACEP – Patient Billing and Education
10. ACEP – Patient Billing and Education
11. ACEP – HIPAA, Fraud and Abuse
12. ACEP – Developing a Compliance Program

Estimated time to complete: 3.75 hrs
Target audience: sleep center staff

Release date: 03/04/2022