AHM 231 - Introduction to CPT Coding
The primary focus of this course is to provide students the principles, guidelines and application of The Current Procedural Terminology (CPT) coding system. CPT is the coding system used to describe services provided by physicians. CPT is also used for services provided by hospital outpatient and ancillary departments, hospital emergency departments, and other health care facilities. In addition, students will be introduced to Procedural groupings such as APCs (Ambulatory Payment Classifications) and RUGs (Resource Utilization Groups). This course also addresses reimbursement and compliance issues related to physician-based coding as well as the purpose and application of the CMS (Center for Medicare and Medicaid Services Healthcare Common Procedural Coding System (HCPCS).
Upon successful completion of this course, students should be able to:
Define terms, phrases and abbreviations related to medical coding
Apply specific volumes of Current Procedural Terminology (CPT) and Healthcare Common Procedural Coding Systems as they pertain to the identification of procedures, medications and medical equipment in healthcare facilities.
Apply Current Procedural Terminology (CPT) coding as they pertain to identification of procedures, medications, and medical equipment in a variety of medical specialties, including but not limited to: Evaluation and Management Coding, Surgery Coding, Pathology and Laboratory Coding, and Radiology coding.
Describe insurance carrier reimbursement systems, such as APCs, RUGs, Outpatient Prospective Payment System (OPPS), Fee-For-Service Payments and Capitation payments.
Apply legal concepts to issues of medical coding.
Lecture Hours: 3
Course Prerequisites: AHM 233, ( AHM 104, AHM 105 or (BIO 150, BIO 151)