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Pre Course
Human Anatomy and Medical Terminology ICD-9-CM Guidelines Introduction to CPT and HCPCS Level II Guidelines Coding and Compliance Recommendations
This lesson is designed to provide students with a brief overview of human anatomy and medical terminology. It will refresh the student on body structure and function, prefixes, root words, suffixes, and special terms to help link the right procedure and diagnosis code. You will also review the CPT, HCPCS Level II, and ICD-9-CM coding guidelines.
Day 1 (8:30 am – 4:30 pm)
• Goals and Objectives of the Course
• Test taking strategies
• Evaluation and Management Guidelines
• Surgery and Modifiers
This lesson will teach correct application of E/M codes utilizing the Evaluation and Management Guidelines in CPT. This lesson will also help identify other procedures and services and the correct use of modifiers with designated CPT codes.
Homework: 10-20 questions must be answered prior to Day 2.
Day 2 (8:30 am – 4:30 pm)
• Integumentary System
• Musculoskeletal System
• Respiratory System
• Cardiovascular System
• Pathology and Lab
• Digestive System
• Genitourinary/OB/GYN
• Nervous System and Eye
This lesson focuses on CPT, HCPCS, and ICD-9-CM coding for the services of physicians and non-physician practitioners. This lesson focuses on correct linkage of CPT (what procedure or service was done) with the correct ICD-9 (why it was done) that supports medical necessity. Correct modifier usage and guidelines with different organ systems and procedures will be emphasized.
Homework: A total of 20-30 questions must be answered prior to Day 3. Questions average 3-4 per section listed above.
Day 3 (8:30 am – 4:30 pm)
• Medicine
• Anesthesia
• Radiology
• CCI & RBRVS
This lesson continues to cover specialty-coding issues and addresses Medicare coding and billing policies and recent coverage changes that affect practice reimbursement. Instruction focuses on the Medicare specific CPT and HCPCS Level II coding rules, coverage, payment and bundling guidelines. You will also learn how to reduce the risk of CMS audits and how to address compliance concerns before they become “red-flagged.”
Homework: Study, Study, Study!
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