Medical Coding+CPC

Categories: Healthcare IT
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About Course

Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician’s notes, laboratory and radiologic results, etc. Medical coding professionals help ensure the codes are applied correctly during the medical billing process, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers.

Medical coding happens every time you see a healthcare provider. The healthcare provider reviews your complaint and medical history, makes an expert assessment of what’s wrong and how to treat you, and documents your visit. That documentation is not only the patient’s ongoing record, it’s how the healthcare provider gets paid.

Medical codes translate that documentation into standardized codes that tell payers the following:

Patient’s diagnosis
Medical necessity for treatments, services, or supplies the patient received
Treatments, services, and supplies provided to the patient
Any unusual circumstances or medical condition that affected those treatments and services
Like a musician who interprets the written music and uses their instrument to produce what’s intended, Medical Coding requires the ability to understand anatomy, physiology, and details of the services, and the rules and regulations of the payers to succeed.

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Course Content

Introduction Of Medical Coding & RCM Cycle
Medical coding is one of the processes in US healthcare, Any patient receives health care services in a physician's office/hospital outpatient/inpatient facility/ambulatory surgical centre, etc. It's the responsibility of the physician to document all the services provided to that patient. After that, the medical coder will abstract the information from the medical record and assign the most appropriate universally accepted codes (CPT & ICD 10 CM), then create a claim to be paid, whether by a Medicare or Medicaid or commercial payer or by the patient itself. The revenue cycle management process begins when a patient schedules an appointment and it ends when the healthcare provider has accepted all payments.[2] Errors in revenue cycle management can lead to the healthcare provider receiving delayed payments or no payment at all. Because the revenue cycle process is complex and subject to regulatory oversight, healthcare providers can turn over their revenue cycle management to companies that handle this complex process 24/7 with specialized agents and proprietary technologies to manage healthcare provider revenue cycles.

  • Introduction of Medical Coding & RCM Cycle Guidelines
  • Introduction Of Medical Coding & RCM Cycle QUIZ

Medical Terminology, Medical Acronyms & Abbreviations
Medical Terminology- • Thorough knowledge of human anatomy is essential to successful coding, as is the ability to understand the medical terminology used to describe and document medical procedures and services. This chapter will introduce the basic elements of human anatomy and review medical vocabulary and terminology. • Medical terminology is composed of a prefix, root word, and suffix: Prefix: A prefix is placed at the beginning of a word to modify or change its meaning. Pre means "before." Prefixes may also indicate a location, number, or time. Root: central part of a word. Suffix: The ending part of a word that modifies the meaning of the word.

ICD 10 Conventions & General coding guidelines

Guidelines of Certain Infectious and Parasitic Diseases

Guidelines of Neoplasms

Anatomy, Disorders & Guidelines of Blood, Blood Forming Organs, Immune System & Lymphatic System

Anatomy, Disorders & Guidelines of Endocrine system

Mental, Behavioral and Neurodevelopmental Disorders & Guidelines

Anatomy, Disorders & Guidelines of Nervous System

Anatomy, Disorders & Guidelines of eye

Anatomy, Disorders & Guidelines of ear

Anatomy, Disorders & Guidelines of Cardiovascular System

Anatomy, Disorders & Guidelines of respiratory system

Anatomy, Disorders & Guidelines of digestive system

Anatomy, Disorders & Guidelines of Integumentary System

Anatomy, Disorders & Guidelines of musculoskeletal system

Anatomy, Disorders & Guidelines of Genitourinary System

Complications & Guidelines of Pregnancy, Childbirth, and the Puerperium

Guidelines of Certain Conditions Originating in the Perinatal Period

Guidelines of Congenital Malformations

Guidelines of Symptoms, signs, and abnormal clinical and laboratory findings

Injury, poisoning, and certain other consequences of external causes

Guidelines of External Causes of Morbidity

Guidelines of Factors Influencing Health Status

Guidelines & Selection of Principal Diagnosis, Secondary Diagnosis with Live scenarios

ICD Guidelines for Coronavirus Infections

ICD 10 CM New Codes

CPT Guidelines

Guidelines of Evaluation and Management

Guidelines of Anesthesia

Guidelines of Surgery

Guidelines of Pathology & Laboratory

Guidelines of Radiology

Guidelines of Medicine

CPT Modifier Guidelines

Guidelines of HCPCS

Final Anatomy and Physiology Quiz

Final ICD-10 CM Quiz

Final CPT Quiz







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