AAPC - Advancing the Business of Healthcare

Skilled Nursing Facility Coding Course

Certificate
Enroll now for just $149 for members ($199 for non-members)

This online medical coding course will equip you with the knowledge and skills needed to ensure accurate diagnosis and procedure coding for skilled nursing facility services. 

A skilled nursing facility (SNF), also known as a nursing home, provides around-the-clock medical care and rehabilitation services to individuals who require skilled nursing care. To ensure proper reimbursement, regulatory compliance, and the ongoing delivery of high-quality care — accurate skilled nursing facility billing and coding is vital. Career opportunities for medical coders trained in SNF coding are on the rise as tremendous growth is projected to continue through 2030 while the last of the baby boomers enter their seventh decade of life.  

Throughout this course, we will explore all the intricate details of Medicare regulations and guidelines for skilled nursing facility coding. This includes an in-depth look at assessment and documentation requirements in skilled nursing facilities, SNF billing concepts, consolidated billing, and Medicare Part A. 

Education and experience requirements

Completion of a professional coding course or 1 year of ProFee coding experience is recommended.

Continuing education units (CEUs)

Approval for 6 CEUs upon successful course completion (one-time use only).

Required books

  • AMA CPT® Professional Edition (current year)

  • ICD-10-CM (current year), any publisher

Course format

This is an online self-paced instruction course. You get the flexibility to complete the course on your own time, at your own pace with on-demand training. Get the help you need from the certified coaching team at any point in your training via email.

Certificate of completion

Certificate issued upon completion with a 70% passing score.

Who should take this course?

This course is recommended for medical coders working in, or interested in, the skilled nursing facility coding specialty. 

Course objectives

  • Learn medical billing and regulatory concepts relevant to skilled nursing facilities 

  • Know how to extract relevant health information from nursing documentation  

  • Review ICD-10-CM guidelines and common diagnoses for skilled nursing facilities 

  • Explore evaluation and management coding for skilled nursing facilities 

  • Review frequently used CPT® codes and modifiers 

  • Understand the Patient Driven Payment Model (PDPM) — the case-mix classification system used in long-term residential care settings that classifies patients into case-mix components and case-mix groups 

  • Know how to use the case-mix index (CMI) to calculate the PDPM per diem rate for Medicare reimbursement 

  • Learn ICD-10-CM and E/M coding for SNF encounters 

  • Supply hands-on examples of material to improve your mastery of the above concepts 

Course content

  • Reading assignment covering CPT®, ICD-10-CM coding, E/M coding, and SNF billing 

  • Key aspects of the SNF Patient Driven Payment Model, such as Resident Assessment Instrument (RAI), Minimum Data Set (MDS) 3.0, the Care Area Assessment (CAA) 

  • Legislative, regulatory, and billing changes to Medicare Part A policy impacting clinical perspective in skilled nursing facilities 

  • Interactive lecture with case studies 

  • Final assessment exam

Course terms and conditions

By purchasing any online course and other items, I certify that I have read and agree to the online course terms and conditions and the refund policy.

Date of purchase is considered your course start date, additional time will be given for processing of your order. After your order is processed, you will receive further email instruction for course access.

This online course must be completed within a 1-year period or less from date of purchase. Additional time extensions may be purchased for a monthly fee. Date of purchase is considered your course start date. After your order is processed you will receive further email instruction on course access.

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