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Tier I: Module I: Medical Terminology Abstraction: This module is specifically designed for the medical coder and is a refresher course in medical terminology, i.e., anatomy, physiology and pathology terms. The course covers all 12 organ systems and teaches the coder how to accurately do medical abstraction (identify and define) key terms for the purpose of diagnostic and procedure coding.

Tier I: Module II: ICD-10-CM Outpatient Physician Coding: This module covers the guidelines and conventions for ICD-10-CM diagnostic coding. This course will focus on professional (outpatient) diagnosis coding. Exams, Proper coding is based on abstracting the key information from the medical documentation to show “medical necessity” and then assigning and accurately sequencing the primary and secondary diagnoses codes to 3rd digit, 4th digit, and 5th digit specificity.

Tier I: Module III: Current Procedure Terminology (CPT®) and Modifiers: This module covers the all of the guidelines and coding conventions for Current Procedure Terminology (CPT®) Codes and Modifiers, and the corresponding National Correct Coding Initiatives (NCCI) for all sections of the CPT coding book, including E/M, Anesthesiology, Surgery, Radiology, Laboratory, Medicine and for Category II and III codes.

Tier I: Module IV: HCPCS Level II (DMEPOS) and Modifiers: This module covers all of the guidelines and conventions for HCPCS Level II Codes and Modifiers. These codes are for DMEPOS, or Durable Medical Equipment Parenteral/Enteral Therapies, Orthotics and Supplies for medical billing. These codes are used in both the inpatient and outpatient settings.

Tier I: Module V: Medical Billing & Reimbursement: This comprehensive module covers the 1) Revenue Cycle from Fee setting, to Medical Appeals, 2) Insurance 101 from Medicare to Managed Care to Private pay, 3) Front/back office processes, 4) medical computer systems and 5) medical records management. This course is recommended for those who need additional training in medical billing and payment systems, as well as, those who are preparing for the CPC® and/or CCS exams, but do not have a strong billing background. The course has many tools for the biller, including a complete usable Medical Office Credit & Collection Policy template.

Course materials included: eBook, presentations, forms and assessments.

Required: Current Year ICD-9-CM Vol. 1 & 2 only, CPT and HCPCS Level II Reference Books