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Current Procedural Terminology (CPT®)
for Coding Professionals



Medical coders are essential to the field of health management. They convert the health care providers’ diagnoses into sets of codes that are used by insurers and the government to calculate reimbursement. Without coders, providers would not get paid.

The Bureau of Labor Statistics estimates there will be 30,000 new coding jobs in the country by 2016. The number of coding jobs available far outpaces the numbers of new coders becoming certified. Especially in rural areas, severe coder shortages mean coder jobs are remaining unfilled for three months or more on average. The demand for medical coders is expected to rise significantly, and the medical coder shortage has already surpassed the nursing shortage by 11%.

This class will provide coders with hands-on preparation for the national certification exam given by AHIMA or AAPC. It is designed for individuals with a clinical background and coders who have had two years of coding experience. The national organizations responsible for administering the examinations recommend that a person have two years of exposure to coding before attempting the exam.This class includes a review of the latest rules and regulations related to ICD-9-CM and CPT coding; billing, as it relates to medical necessity and coding; a review of the theory and practice of medical coding; a review of clinical documentation, as it relates to pathophysiology, human anatomy and pharmacology; two 400-question practice exams; practice scenarios of coding cases; focused group work; and one-on-one personal instruction and assistance with coding questions.

T O P I C S   I N C L U D E
Introduction to CPT®

  • Defining Current Procedural Terminology (CPT®)
  • Development of the coding system
  • Coding guidelines
  • Using the CPT® book
  • Conventions in CPT®
  • Multiple code assignments
  • Abbreviations, punctuation and symbols
  • Use of health records in the coding process
  • Basic steps CPT® coding
  • Billing reimbursement
  • In-depth review of CPT® book sections:
    • Evaluation and Management
    • Anesthesia
    • Cardiovascular
    • Digestive System
    • General and Integumentary
    • Male and Female Genital
    • Maternity
    • Musculoskeletal System
    • Nervous System
    • Radiology and Pathology
    • Respiratory
    • Surgery and the Surgical Package
    • Urinary
CPT® Codes
  • Detailed explanations
  • Definitions of procedures
  • Clarification of understated differences
  • Situation-specific code assignments
Overview of Reimbursement and Coding Systems
  • Correct coding procedures
  • Medicare
  • Other third-party payers
  • Future of coding systems
  • Challenges of compliance
  • Claim disputes
  • Optimal reimbursement and audit protection
  • Ethical coding
  • Medical details and medical coding issues involved in claim disputes
  • Medicare information for providers and medical billing codes

CPT® Updates
  • Changes to CPT codes, guidelines and procedures for 2011
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