CPS_WEEK 1

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Rasmussen College, Saint Cloud *

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HIM1257

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Mechanical Engineering

Date

Dec 6, 2023

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docx

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Uploaded by KidToad3548

WEEK 1 CPT OVERVIEW HIM1257 Section 02 Ambulatory Coding (5.5 Weeks) - Online Plus - 2023 Fall Quarter Term 2 Module 01 Overview and Activities Module 01 Overview and Activities   Objectives By the end of this module you should be able to: o Define medical terms contained in health record documentation. o Apply knowledge of pharmacology and anatomy and physiology when choosing CPT codes. o Explain CPT symbols, punctuation, and instructional notes. o Describe the use of guidelines in CPT. o Apply the basic steps in coding a procedure or service. o Determine when modifier use is appropriate. o Determine CPT/HCPCS codes in compliance with all coding conventions and official guidelines for coding and reporting. o Utilize technology to assist code assignment. o Demonstrate how to use the alphabetic index and the tabular section of the CPT codebook.  Total Estimated Time 16 hours  Readings Activity Time: 4 hours and 50 minutes o Procedural Coding and Reimbursement for Physician Services o Chapter 1: Introduction to Coding Basics o Chapter 3: Modifiers  Lesson Content o Module 01 Additional Readings (Activity Time: 1 hour) o Module 01 Medical Terminology (Activity Time: 1 hour and 30 minutes)

o Module 01 HCPCS and CPT Coding Format and Conventions (Activity Time: 1 hour and 30 minutes) o Module 01 Using the Index (Activity Time: 1 hour and 30 minutes)  Assignments o Module 01Assignment - Worksheet o Module 01 Quiz (Activity Time: 40 minutes) o Module 01 Live Classroom (Activity Time: 1 hour) HIM1257 Section 02 Ambulatory Coding (5.5 Weeks) - Online Plus - 2023 Fall Quarter Term 2 Module 01 Assignment - Worksheet Module 01 Assignment - Worksheet 20 OF 20 QUESTIONS REMAINING Module 1 Content 1. This coding worksheet contains 20 questions. You can re-enter the worksheet unlimited times but submit only once. Please use coding resources to complete the following worksheet. 2. Question 1 1 Point Give an example of a mandated service that would require modifier 32. HIM1257 Section 02 Ambulatory Coding (5.5 Weeks) - Online Plus - 2023 Fall Quarter Term 2 Medical Terminology Medical Terminology

 Current Procedural Terminology (CPT) was created in 1966 by the American Medical Association (AMA). CPT is a standardized medical terminology, unlike ICD-10, which is a classification system. CPT was created for physicians to have a uniform language to describe and report the services provided. It is an essential skill for a coder to interpret medical documentation and translate this language into codes; the coder must understand medical terminology, pharmacology, anatomy, and physiology. Before coding any procedure or service, the coder must identify the services that require codes within the health record documentation. An operative report may contain descriptions of multiple procedures, and it is up to the coder to determine how to report this service. HIM1257 Section 02 Ambulatory Coding (5.5 Weeks) - Online Plus - 2023 Fall Quarter Term 2 HCPCS and CPT Coding Format and Conventions HCPCS and CPT Coding Format and Conventions  Resources for Coding in the United States ICD-10-CM is used for diagnosis coding in all healthcare settings. The ICD-10- PCS code set is used only to report inpatient procedures and not to report physicians' and surgeons' services and procedures. Current Procedural Terminology (CPT) is the code set used for physician services. The Center for Medicare and Medicaid Services (CMS) has included CPT in the Healthcare Common Procedure Coding System (HCPCS) . CPT is considered level I of HCPCS . HCPCS level II codes are known as national codes and are used for supplies and other services where no CPT code exists. HIPAA mandates using these code sets for reporting to public and private insurers. Entities that are not required to comply with HIPAA (like liability insurance or worker's compensation carriers) are not required to use these code sets and may have other reporting processes in place.

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