Skilled Nursing Facility Coding Course
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).
Course syllabus
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