Course Code/Title: HI-1051: Certified Professional Coder Preparation Course Course Hours: 320 Duration (wks): 16 weeks Chapter 1 The Business of Medicine Coding as a Profession The Difference between Hospital and Physician Services How a Physician Office Works and How the Coder Fits into It Understanding the Hierarchy of Providers The Different Types of Payers The Medical Record Medical Necessity The Advance Beneficiary Notice The Health Insurance Portability and Accountability Act of 1996 (HIPAA) The Need for Compliance Rules and Audits The OIG Work Plan What AAPC Will Do for You Chapter 2 Medical Terminology and Anatomy Review Medical Terminology to Anatomy Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System (Pulmonary System) Digestive System Urinary System Reproductive Systems Nervous System Organs of Sense Eye Organs of Sense Ear Endocrine System Hematologic (Hemic) System Immune System 1 P a g e
Chapter 3 to 55 Overview of Layout Steps to Look Up a Diagnosis Code Official Guidelines for Coding and Reporting Chapter 4 Coding Chapters 1 9 Chapter 1: Infectious and Parasitic Diseases (Codes 001 139) Chapter 2: Neoplasms (Codes 140 239) Chapter 3: Endocrine, Nutritional and Metabolic Diseases and Immunity Disorders (240 279) Chapter 4: Diseases of Blood and Blood Forming Organs (280 289) Chapter 5: Mental Disorders (290 319) Chapter 6: Diseases of Nervous System and Sense Organs (320 389) Chapter 7: Diseases of Circulatory System (390 459) Chapter 8: Diseases of Respiratory System (460 519) Chapter 9: Diseases of Digestive System (520 579) Chapter 5 Coding Chapters 10 19 Chapter 10: Diseases of Genitourinary System Chapter 11: Complications of Pregnancy, Childbirth, and the Puerperium Chapter 12: Diseases Skin & Subcutaneous Tissue Chapter 13: Diseases of Musculoskeletal and Connective Tissue Chapter 14: Congenital Anomalies Chapter 15: Certain Conditions Originating in the Perinatal Period Chapter 16: Signs, Symptoms and Ill-Defined Conditions Chapter 17: Injury and Poisoning Chapter 18: Classification of Factors Influencing Health Status and Contact with Health Service Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning 2 P a g e
Chapter 6 to CPT, Surgery Guidelines, HCPCS, and to CPT National Correct Coding Initiative (NCCI) Sequencing CPT Codes Resource-Based Relative Value Scale (RBRVS) CPT Assistant Category II Codes and a Brief Overview of the Physician Quality Reporting System CPT Category III Codes Appendices Surgery Guidelines HCPCS Reimbursement Chapter 7 Integumentary System Coding Codes Chapter 8 Musculoskeletal System Coding 3 P a g e
Chapter 9 Respiratory, Hemic, and Lymphatic Systems; Mediastinum, and Diaphragm Chapter 10 Cardiovascular System CPT 291 Chapter 11 Digestive System CPT Digestive System (40490 49999) Chapter 12 Urinary System and Male Genital System Coding 4 P a g e
Chapter 13 Female Reproductive System Anatomy Chapter 14 Endocrine and Nervous System Anatomy Chapter 15 Eye and Ocular Adnexa, Auditory Systems Symptoms and V Codes Medicine Codes Ophthalmological Services The Medicine Section Special Otorhinolaryngologic Services (92502 92700) Chapter 16 Anesthesia Coding Anesthesia-Related Teaching Rules 5 P a g e
Chapter 17 Radiology Coding CPT Types of Radiological Services Diagnostic Ultrasound Radiologic Guidance Breast, Mammography Bone/Joint Studies Radiation Oncology Nuclear Medicine Chapter 18 Pathology and Laboratory Terminology Chapter 19 Evaluation and Management Coding Determine the Level of Services Codes 6 P a g e
Chapter 20 Medicine Anti-Infective Immunizations Vaccines and Toxoids Psychiatry Biofeedback Dialysis and End Stage Renal Disease Services Gastroenterology Ophthalmological Services Special Otorhinolaryngologic Services Cardiovascular Services Noninvasive Vascular Diagnostic Studies 609 Pulmonary Studies Allergy and Immunology Endocrinology Neurology and Neuromuscular Procedures Medical Genetics and Genetic Counseling Services Hydration, Therapeutic, Prophylactic, Diagnostic Injections/Infusions and Chemotherapy, Highly Complex Drugs or Highly Complex Biologic Agent Administration Photodynamic Therapy Special Dermatological Procedures Physical Medicine and Rehabilitation Acupuncture 620 Osteopathic Manipulative Treatment Chiropractic Manipulative Treatment Education and Training for Patient Self-Management Non Face-to-Face Nonphysician Services Special Services, Procedures and Reports Qualifying Circumstances for Anesthesia Home Health Procedures and Services Medication Therapy Management Services Chapter 21 What Lies Ahead Prepare Now for Significant Healthcare Changes ICD-10-CM PQRS The Focus on Prevention and Physicians Changing Roles Patient Care Moves Beyond the Physician Office Technology and Medical Coding The Electronic Health Record Focus on Fraud and Abuse 7 P a g e