Advanced Hospital Coding and CCS Prep GES 104 » 80 hours

Overview Description Objectives Outline Prerequisites PC Requirements / Materials Instructor Bio See a Demo

  1. Module I: Introduction
    1. The Hospital Revenue Cycle
    2. Understanding the Patient Billing Process
    3. Services Provided in the Facility Setting
    4. Career Opportunities in the Hospital Setting
  2. Module II: Hospital Coding and Billing Overview
    1. ICD-9-CM Coding Guidelines
    2. ICD-9-CM Procedural Guidelines
    3. CPT/HCPCS Procedure Coding Guidelines
    4. Review of Appropriate Coding Assignment
  3. Module III: Hospital Billing Process
    1. General Overview of the Billing Process
    2. Admission/Preadmission Process
    3. Insurance Carriers
    4. Capturing Patient Services
    5. Coding and Health Information Department
    6. Billing Department
    7. Collection and Payment Policies
  4. Module IV: UB-04 Overview
    1. General Overview of the Hospital Billing Form
    2. Field-by-field Description of UB-04 With Code Values
  5. Module V: Inpatient Coding
    1. ICD-9-CM Diagnostic Coding Tools
    2. Inpatient ICD-9-CM Diagnostic Coding
    3. Additional ICD-9-CM Diagnostic Coding Guidelines
    4. Special Inpatient ICD-9-CM Considerations
    5. Injuries and Poisonings
  6. Module VI: Inpatient Billing
    1. Methodologies for Inpatient Services
    2. Concepts of Inpatient Prospective Payment System (IPPS)
    3. Diagnosis Related Groups
  7. Module VII: Outpatient Coding
    1. Documentation Review for Key Elements
    2. General ICD-9-CM Diagnostic Coding Guidelines
    3. ICD-9-CM Procedure Coding
    4. General Procedure Coding Guidelines (CPT/HCPCS)
    5. CPT Specific Section Guidelines
    6. Outpatient CPT Surgery Coding Guidelines
    7. CPT Surgical Modifier Codes
    8. Guidelines by all Body Systems
    9. Outpatient Radiology Coding
    10. HCPCS Codes
  8. Module VIII: Outpatient Billing
    1. General Concepts of the Outpatient Prospective Payment System (OPPS)
    2. Ambulatory Payment Classifications (APC)
    3. Outpatient Revenue Codes
    4. Outpatient Code Editor
    5. The Outpatient Billing Process (UB-04)
  9. Module IX: Completion and Certification Preparation
    1. AHC Program Completion Steps
    2. Overview of the Certification Process
    3. Introduction to the Certified Coding Specialist (CCS) Certification
    4. Introduction to the American Health Information Management Association (AHIMA)
    5. Skills Competency Review and Practice
    6. Study Schedule for Certification Preparation