Comprehensive Medical Coding Training Course Overview

Module 1: Introduction to Medical Coding

  • Overview of medical coding and healthcare reimbursement
  • Role and responsibilities of a Certified Medical Coder (CMC)
  • Understanding healthcare regulations and compliance (HIPAA, OIG)
  • Medical coding systems: ICD, CPT, and HCPCS

Module 2: Medical Terminology

  • Anatomy and physiology overview
  • Common medical prefixes, suffixes, and root words
  • Understanding disease classifications and medical conditions
  • Pharmacological terms relevant to coding

Module 3: ICD-10-CM Coding

  • Structure and format of ICD-10-CM
  • Guidelines for diagnosis coding
  • Applying ICD-10-CM codes for common conditions
  • Coding for specific systems (cardiovascular, respiratory, gastrointestinal, etc.)

Module 4: CPT Coding

  • Overview of Current Procedural Terminology (CPT)
  • Guidelines for procedure and service coding
  • Sections of CPT: Evaluation and Management (E/M), Surgery, Radiology, Pathology, and Medicine
  • Modifiers and their usage

Module 5: HCPCS Level II Coding

  • Introduction to HCPCS Level II codes
  • Durable Medical Equipment (DME) and supplies
  • Applying HCPCS codes for services and items not in CPT

Module 6: Medical Record Documentation

  • Understanding medical records and their components
  • Importance of accurate documentation in coding
  • Auditing and compliance techniques
  • Handling incomplete or ambiguous documentation

Module 7: Coding for Specialties

  • Coding for inpatient and outpatient services
  • Emergency department coding
  • Coding for surgical procedures
  • Specialty-specific coding (orthopedics, dermatology, oncology, etc.)

Module 8: Reimbursement and Billing

  • Fundamentals of medical billing
  • Insurance claim processing and adjudication
  • Reimbursement methodologies (DRG, APC, RBRVS)
  • Avoiding billing errors and fraud prevention

Module 9: Coding Compliance and Ethics

  • Importance of coding accuracy and ethical standards
  • Common coding errors and ways to avoid them
  • Compliance programs and audits
  • Legal and ethical considerations in coding

Module 10: CMC Exam Preparation

  • Study tips and resources
  • Practice questions and mock exams
  • Time management strategies for the certification exam
  • Review of CMC exam domains and content outline

Practical Sessions

  • Hands-on practice with medical coding software
  • Real-world case studies and coding exercises
  • Feedback sessions for skill improvement

Capstone Project

  • Comprehensive medical coding project using ICD-10-CM, CPT, and HCPCS
  • Presentation of findings and application of coding knowledge
  • Final assessment and instructor feedback

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