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Healthcare Reform Perspectives: Accountable Care Concepts for Managers

The Healthcare Reform Perspectives: Accountable Care Concepts for Managers course introduces students to the accountable Healthcare concepts defined in the Patient Protection and Affordable Care Act of March 2010. Over the coming years, implementation of the Affordable Care Act presented a unique and lengthy set of challenges for healthcare practices across the country. An essential part of this transition aimed at cost reduction will include the implementation of Health Information Technology (HIT) to make data available between providers, insurance carriers and patients, implicating the need for coordinating patient information, maintaining health information security and keeping abreast of on-going and often complex information presented on a regular basis. Other key trends will focus on Electronic Health Records, coordinator of care, accurate documentation and the avoidance of fraud and abuse particularly across Medicare and Medicaid.

Moreover, the shift in focus toward prevention and wellness will change the way physicians practice and require significant reporting efforts to comply with the Physician Quality Reporting System. In order to transition practices effectively to ensure both compliance and overall viability in both the near and long term, this course will help practice managers to apply their existing administrative knowledge, understanding of the Healthcare system and general project management skills in the most effective way.

This course introduces learners to the accountable health care concepts defined in the Health Care Affordability Act of March 2010. Participants will learn about the numerous challenges presented by this health care reform legislation and gain an understanding of the law's implications for health care managers.


Class Objectives

After completing this class, learners will be able to:

  • Summarize the need and context for health care reform of the American health care system
  • Describe the major programs, initiatives, organizations, changes, and their associated implementation time frames
  • Convey the four legislative policy principles that frame the law
  • Explain a minimum of three implications for a manager following each lesson
  • Determine appropriate resources for ongoing updates and information regarding health care legislation

 

CPT Coding: Urinary and Male Reproductive System, Female Reproductive System, Materinity Care, and Delivery Procedures (50,000 Series)
This credential documents competencies including reading medical charts, coding diagnoses using ICD-10-CM, coding medical procedures using CPT, and having familiarity with HCPCS Level II and ICD-10-PCS coding requirements. A general understanding of medical insurance and the medical billing process is also required. Basic knowledge of anatomy and physiology and medical terminology are important to this field. This credential documents the essential skills for a medical coder working in various health settings. The successful medical coder will demonstrate proficiency with coding manuals and have the ability to extract coding information from medical documentation. The medical coder also needs thorough knowledge of anatomy and physiology and medical terminology.