| Official Course Description: MCCCD Approval: 11/26/02 | |||
|---|---|---|---|
| HSE103 20032-99999 | LEC | 1 Credit(s) | 1 Period(s) |
| Beginning CPT-4 Evaluation and Management Coding | |||
| Introduction to CPT-4 Evaluation and Management (E&M) medical service coding. Historical overview and future application of CPT-4 E&M coding system. Professional certifications and affiliations. Utilization responsibilities and procedures including common medical billing and classification terminology, use of numeric system, electronic and manual insurance claims submission. Utilization compliance, fraud and abuse. Prerequisites: Employment in a health services setting is suggested but not required or permission of instructor. | |||
| MCCCD Official Course Competencies: | |
|---|---|
| HSE103 20032-99999 | Beginning CPT-4 Evaluation and Management Coding |
| 1. | Describe the history and future application of CPT-4 E&M medical service coding. (I) |
| 2. | Identify professional certifications and affiliations associated with the use of CPT-4 E&M medical service coding. (I) |
| 3. | Describe staff responsibilities related to utilization of CPT-4 E&M medical service coding. (I) |
| 4. | Identify guidelines for compliant utilization of CPT-4 E&M coding. (II) |
| 5. | Define common medical billing terms with emphasis on medical classification systems terminology. (II) |
| 6. | Translate patient care documentation into a numeric system used for medical reimbursement claims, education and research. (II) |
| 7. | Describe fraud and abuse issues and related penalties. (III) |
| MCCCD Official Course Outline: | |
|---|---|
| HSE103 20032-99999 | Beginning CPT-4 Evaluation and Management Coding |
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