Medical Coding Program Description

Chronicles Billing  School believes in giving everyone a chance at success.

The Medical Coding Program is designed to prepare the student for a career as a certified professional coder. Students will be taught comprehensive/accurate CPT, ICD-10 CM and HCPCS medical coding information needed for reimbursement for medical procedures/services provided by the Physician.

The curriculum includes: online correspondence with 1-on1 instructor access, online exercises, end of chapter reviews, and final exam. Upon completion of the PMCC online preparation course Chronicles Billing Inc will proctor the AAPC Certified Professional Coder (CPC) examination.

What does it take to become a Certified Professional Coder?

The first step is to enroll in a PMCC online based course. The student will learn to abstract diagnosis and procedure codes to maximize reimbursement for their physicians. The PMCC has designed a definitive program of study that is aimed at providing the most up-to-date information relating to CPT and ICD-10-CM procedural and diagnostic coding.

Chapters include medical terminology, anatomy overviews, with CPT and ICD-10-CM coding issues organized in a way that is consistent with the most current American Medical Association’s Physicians Current Procedural Terminology. The course also includes end-of-chapter review questions to enhance comprehension of the material covered. Students who are serious about becoming a Certified Professional Coder must take advantage of the PMCC program by enrolling and giving themselves the best opportunity for success.

Student will require a strong amount of self discipline and dedication to learning and perfecting their skills as a medical coder. Please plan on allowing approximately six to eight hours of home study time per week.

Program Description

Week #1 Chapter 1: The Business of Medicine

In this chapter students will be introduced to coding as a profession. Explore the difference between hospital and physician services. How the physician office works and how the coder fits into it. Understanding the hierarchy of providers’ specialty. Exploring the different types of insurance payers. Explaining the importance of medical records; medical necessity and Medicare’s Advance Beneficiary Notice (ABN). Detailing the importance of the Health Insurance Portability & Accountability Act of 1996 (HIPAA) and the need for compliance. Outlining the Office of Inspector General (OIG) workplan. Finally, what will certification from the AAPC do for you.

Weeks #2 Chapter 2: Medical Terminology & Anatomy

A thorough knowledge of the human anatomy is essential to be a successful coder as well as the ability to understand the medical terminology used to describe documented medical procedures. This chapter will introduce the student to the basic terminology such pre-fix, suffix and combining forms. The most important key terms of the basic anatomy & physiology of each body system will also be reviewed. This week will give the student an understanding of the anatomy of the boy & how the systems relate to one another.

Week #3 & 4 Chapter 3-5: ICD-10-CM Coding

Coding conventions, coding tips, and understanding ICD-10-CM Volumes 1 and 2 are presented. An addendum introduces the ICD-10 format, which is informational only and not included in the CPC examination. ICD-10-CM Volumes 1 and 2 diagnostic coding through medical necessity, coding guidelines, and how-to steps are presented.

Week #5 Chapter 6: Introduction to CPT, Surgery Guidelines, HCPCS & Modifiers

Understanding CPT® and HCPCS codes in relation to reporting physician and/or other provider procedures and services are discussed. This chapter also introduces the basics of formatting, terminology, modifiers, and the two levels of HCPCS codes used in Medicare and most private payer claims. Surgical codes are arranged in sections according to body systems, which are divided according to the type of procedure performed. The AMA’s coding modifiers and coding guidelines are defined.

Week #6 Chapter 7: Integumentary System

The Integumentary system is made of structures that cover the human body. The students will have an understanding of the key components of the skin, hair, nails and breast. The various procedures and surgeries that relate to the skin, hair, nails and breast will be reviewed.

Week #7 Chapter 8: Musculoskeletal System

One of the largest sets of codes in the CPT®® is the musculoskeletal system. The students will be exposed to how the muscles and bones work together to form the framework of the human body. The application, relevant definitions, anatomical descriptions, and an overview of the various procedures will be revealed during a hands-on demonstration.

Week #8 Chapter 9 & 10: Respiratory, Hemic, Lymphatic, Mediastium, Diaphragm and Cardiovascular Systems

Students are introduced to respiratory diseases with subsequent treatment and the functions of the system’s organs. The respiratory system codes with the application and proper documentation are defined. Students will have the opportunity to learn about coding of procedures affecting the cardiovascular system. The chapter covers coding from the Surgery, Medicine and Radiology sections, as well as the major classes of procedures that apply to each system

Week #9 Midterm Exam

This week, students will be evaluated on the information you have learned thus far via the administering of a Midterm test is given on information covered from weeks 1-8.

SectionWeek #10 Chapter 11-13 Digestive System Urinary; Male/Female Genital System and Maternity Care and Delivery

The digestive system main function is to break down food that is taken into the body. The organization and content of the CPT®® Surgery/Digestive System subsections will be explained to students. The key terms associated with the digestive system will be defined along with the anatomy associated with most common procedures performed in this section will be detailed. Four sections of CPT® codes are reviewed in this week. The chapter reviews the Urinary; male genital systems, which is followed by an overview of the female genital system. The forth set of codes discussed reviews the delivery and maternity care codes

Week #11 Chapter 14-16 Endocrine; Nervous; Eye and Ocular Adnexa, Auditory Systems & Anesthesia

Students will have the opportunity to learn about coding of procedures affecting the endocrine and nervous systems. Procedures may range from major to minor surgery, to diagnostic and therapeutic injections, to electro-diagnostic testing. Practical advice will be given to students to overcome CPT®®coding dilemmas involving these systems. The eye and ear are both part of the nervous system, but CPT® and ICD-10-CM treat them separately from the rest of the nervous system codes. The students will have an understanding of coding disorders and procedures for both the eye and ear. Also a discussion of the ASA relative values, anesthesia guidelines, modifiers, code organization and crosswalk, as well as a review of the different types of anesthesia available for patients and the methods in which they are administered is covered in this chapter.

Weeks #12 Chapter 17 & 18 Radiology, Pathology & Laboratory

A discussion of radiological procedures and coding guidelines including body positions and relationship terms, radiological supervision and interpretation codes, technique and equipment issues, diagnostic radiology, MRIs, ultrasounds, and chemotherapy administration are covered this week.  This week covers procedure and coding issues pertaining to pathology and laboratory. Topics include organ and disease oriented panels, drug testing, therapeutic drug assays, consultations, hematology and coagulation, blood counts, hemograms and differentials, bone marrow procedures, blood clot studies, transfusion medicine, microbiology, anatomic pathology, and CLIA requirements.

Weeks 13 &14 Chapter 19 & 20 Evaluation & Management, Medicine

Evaluation and management (E/M) codes are described with the fundamentals in preparation and application to medical claims. Each section explains a topic pertinent to E/M coding such as the definitions of key components, reporting consultations, emergency department visits, critical care, preventive medicine, and home health services. From the basics of E/M coding, the students advance to actual reporting of these codes based on provider information. A step-by-step approach to E/M auditing is presented with the various types of audits common to medical practices.  Also, this chapter discusses immunization and administration for vaccines/toxoids, therapeutic and diagnostic infusions, psychiatry, dialysis, gastroenterology, ophthalmology codes, cardiovascular codes, physical medicine, and other special services that are found in the Medicine section of the CPT®-4 text.

Week #15 MOCK Final Review

This week, the students will review each section of the Mock Final prior to the administration of a Mock Final Exam.

Week #16 MOCK Final Exam

This week, the students will be evaluated on the information learned during the entire course this program via the administering of a Mock Final Exam.

Week #17 Bootcamp

This week, the students will review the information learned during the entire course this program (section by section) prior to the administration of the national AAPC Certification Exam.

Week #17 AAPC Certification Exam (Saturday 7:30AM-1:40PM)

This week, the students will be evaluated via the administering of the national AAPC Certification Exam.

Materials Needed For This Course

Current Procedural Terminology (CPT); Professional Edition

International Classification of Diseases-9th Revision CM (ICD-10)

Healthcare Common Procedural Coding System II Professional (HCPCS)

Medical Dictionary (Tabers recommended)

Colored highlighters (4 colors)

Colored Tabs

*** Course cost also includes a Midterm Exam, Mock Final Exam and Final Review Bootcamp. ***

AAPC CERTIFICATION EXAM FEE is an additional fee that must be made payable to the Chronicles Billing, Inc. on Week 10 in order to be scheduled for the AAPC certification exam.

AAPC STUDENT membership is included in the registration fee paid at the time of registration.