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Advanced Coding for the Physician’s Office

GES 103 -- 80 hours

Course Objectives

    Students registering for the Advanced Coding for the Physician's Office Course should have an understanding of CPT-4 (CPT), ICD-9-CM (ICD-9) and HCPCS coding principles. There are brief introductions involving the "basics" of coding, which then will broaden to include the more in-depth information.

    Each module will build on the previous, bringing greater understanding in the following areas:

    • Build upon the prior knowledge of ICD-9 diagnostic coding with increased understanding and confidence.
    • Understand the alphabetic and tabular structures of volumes 1 & 2 of the ICD-9 book, including the tables.
    • Understand and use appropriately the coding conventions in volumes 1 & 2.
    • Understand the CMS guidelines for outpatient diagnostic coding and identify the "special circumstances" specified in the guidelines.
    • Review distinct information about each chapter, subchapter and category within the ICD-9 book.
    • Gain a complete understanding of each sub-category of ICD-9 codes and the disease processes involved, as well as, understanding of the supplementary classifications.
    • Identify both primary and principal diagnoses.
    • Increase accuracy of ICD-9 disease classification coding while using the acquired knowledge of CMS guidelines and chapter specifics.
    • Understand the importance of remaining up to date on CPT coding changes and learn steps to avoid missing information on the changes that occur.
    • Gain a complete understanding of the use of modifiers, section guidelines and the uses of specific CPT codes.
    • Know the 10 steps to CPT coding that will help in being compliant and provide better reimbursement because of increased accuracy.
    • Know the difference between each of the categories in the Evaluation and Management (E&M) section in order to simplify code selection.
    • Gain a better understanding of the components surrounding E&M code selection.
    • Know the Centers for Medicare and Medicaid Services (CMS) E&M documentation guidelines (DG) and apply them respectively.
    • Gain detailed information on each CPT modifier and its use.
    • Increase knowledge of each section through comprehensive review.
    • Demonstrate accurate code assignment with the increased knowledge of CPT coding guidelines.
    • Better understand when to use unlisted procedures.
    • Know the difference between national and local HCPCS codes and modifiers.