HITT 2109 - CPT/HCPCS, Outpatient Coding-Beginning

Credit Hours: 2.00

1. Use and maintain electronic applications and work processes to support clinical classification and coding.
2. Apply procedure codes using Current Procedural Terminology CPT/Healthcare Common Procedure Coding System (HCPCS).
3. Adhere to current regulations and established guidelines in CPT/HCPCS code assignment.
4. Use and maintain applications and processes to support other clinical classification and nomenclature systems (such as ICD-10-CM).
5. Support coding accuracy using clinical information found in the health record.
6. Resolve discrepancies between coded data and supporting documentation.
7. Promote ethical standards of practice.

 
OUTCOME 2: Upon completion of this course, students will be able to interpret different reimbursement methodologies.
 
OBJECTIVES:

1. Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery.
2. Define and apply classification systems, such as APC’s, as required.
3. Support accurate billing through coding, chargemaster, claims management, and bill reconciliation process.
4. Use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative.

 
OUTCOME 3: Upon completion of this course, students will be able utilize information and communication technologies.
 
OBJECTIVES:

1. Use specialized software in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
2. Use technology, including hardware and software, to ensure data collection, storage, analysis, and reporting of information.

• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

1. Application to CPT Coding
2. Application of the CPT System
3. Modifiers
4. Surgery - Integumentary
5. Surgery - Musculoskeletal
6. Surgery - Respiratory, Cardiovascular
7. Surgery - Digestive
8. Surgery - Urinary, Male Genital, Female Genital
9. Surgery - Endocrine, Nervous, Eye, Auditory
10. Radiology
11. Pathology and Laboratory Services
12. Evaluation and Management
13. Medicine
14. Anesthesia
15. HCPCS Level II
16. Reimbursement in the Ambulatory Setting