Advanced Coding: Pneumonia - Billing and Auditing Concepts

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About this course

This course provides a review of advanced billing and auditing coding concepts for pneumonia. Areas reviewed include variables in pneumonia that affect reimbursement, reimbursement methods, and audit, denial, and appeal guidelines.


Courses/Coding/Advanced Coding

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  • Introduce types of reimbursement for inpatient and outpatient pneumonia
  • Review auditing procedures for reviewing inpatient and outpatient coding
  • Examine medical necessity and National Correct Coding Initiative (NCCI) edits
  • Study quality and outcome measures by reviewing items such as readmission standards and the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
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