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Meet today’s reimbursement
challenges with trained coders
who understand the complete
physician payment system.
Course Overview
1. Comprehensive look at ICD-9-CM, CPT®, HCPCS Level II coding systems
2. Use the language of coding to tell the story of the patient encounter
3. Maximize productivity when you learn to use your coding books more effectively
4. Systematic method for translation of documentation into coding to the CMS 1500
Never before has there been a greater emphasis on getting every dollar rightfully due to the practice.
Coding From the Inside Out
Receive hundreds of professional tips and guidelines that will make you a more efficient, versatile, and accurate coder. Class workbook includes time-saving tips for getting the most out of the CPT & ICD-9-CM Vols. I & II. Before you code your first claim, you must understand the rules of coding and documentation. Participants will gain excellent comprehension in all the following areas:
• What payers want and why
• Learn what documentation is and why it is so important to the coder
• What is the role of each coding language and how they fit together
• How to use the CPT & ICD-9-CM Vols. I & II
• What other coding tools are available to improve efficiency
• How to properly select E/M services
• What are the 7 components used in defining the levels of E/M services
• How to properly document history
• What are the 4 types of history & what is included in each type
• How to read a source document
• When to use E/M services based on 4 types of examination
• How to locate a code from the index
• When and when not to use a modifier
• What is the definition of a new patient
• When to use '95 vs. '97 guidelines
• How documentation is used to record the complexity of medical decision making
• Why a basic understanding of medical terminology is a must for all coders
• How to report additional medical services and supplies not covered under Level I CPT codes
• Why you should always cross-check newly released codes each year
• Where to find the major rules of coding that apply to all coders regardless of specialty
• What are the steps for coding unlisted procedures
• Why a thorough understanding of documentation guidelines is essential
• Why symbols, punctuation and abbreviations are essential for ICD-9-CM comprehension
Who Should Attend
This is the perfect review or introductory course for new coders and office managers seeking a broad understanding of coding principles relevant to all specialties.
Prerequisites
No prerequisites are required.
What to Bring
All students must bring current editions of CPT & ICD-9-CM Vols. I and II to this class. These references may be purchased at www.pmiMD.com or by calling 800-259-5562.
Class Materials
A course manual will be provided. Participants will also receive bonus E&M Coding Grids, developed by PMI, for accurate selection of E/M level of service codes.
CEUs
A certificate of attendance will be provided. PMI-certified professionals (CMC, CMIS, CMOM) receive up to 6 CEUs for attendance. CEU credit is based on total number of instructional hours. Review pre-approval and credit guidelines prior to enrollment if you are seeking CEUs from other organizations.
Assess Your Knowledge:
(answer key below)
1. Greek or Latin roots, prefixes and suffixes work together to convey several pieces of information as a single word. What is this language called?
2. What essential function must all coders have a thorough understanding of before coding a claim?
3. Documentation is the key component in a patient’s record to support what?
4. Every digit of an ICD-9-CM code has a specific meaning and purpose as described in what section of the reference book?
5. Which reference/volume contains the information that is considered to be the first step in diagnosis coding?
6. Where can one find all the major rules of coding applicable to all coders regardless of specialty?
7. Which codes require a special report to describe the exact procedure will be required?
8. What is the term used to refer to the complexity of establishing a diagnosis and/or selecting a management option?
Answers:
1. Medical terminology
2. How to read and dissect a source document into the components required by AMA/CMS Documentation Guidelines
3. Medical necessity
4. Volume I
5. Volume II (ICD-9-CM Index)
6. CPT Intro & Guidelines sections
7. Unlisted codes
8. Medical decision making
Practice Management Institute
Practice Management Institute® (PMI) teacher physicians and their staffs how to properly navigate complex healthcare and secure every dollar rightfully due. PMI programs focus on essential coding, reimbursement, compliance, and practice productivity issues.
©2009 Practice Management Institute® PC0309
CPT is a registered trademark of the American Medical Association.
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Online Training
Reference
This program is not currently scheduled but you might be interested in CPT Coding Workshop .
