Maricopa Community Colleges  HSE104   20032-99999 
Official Course Description: MCCCD Approval: 11/26/02
HSE104 20032-99999 LEC 1 Credit(s) 1 Period(s)
Beginning CPT-4 Surgical/Procedural Coding
Introduction to CPT-4 surgical/procedural medical service coding. Historical overview and future application of CPT-4 surgical/procedural coding system. Professional certifications and affiliations. Utilization responsibilities and procedures including common medical billing and service 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.
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MCCCD Official Course Competencies:
 
HSE104   20032-99999 Beginning CPT-4 Surgical/Procedural Coding
1. Describe the history and future application of CPT-4 surgical/procedural medical service coding. (I)
2. Identify professional certifications and affiliations associated with the use of CPT-4 surgical/procedural medical service coding. (I)
3. Describe medical office staff responsibilities related to utilization of CPT-4 surgical/procedural medical service coding. (I)
4. Identify guidelines for compliant utilization of CPT-4 surgical/procedural coding. (II)
5. Define common medical billing terms with emphasis on medical service 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)
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MCCCD Official Course Outline:
 
HSE104   20032-99999 Beginning CPT-4 Surgical/Procedural Coding
    I. CPT-4 Surgical/Procedural Management
        A. History and future application
        B. Professional affiliations
        C. Available certification processes
        D. Utilization responsibilities
      II. CPT-4 Surgical/Procedural Utilization
          A. Guidelines for utilization compliance
          B. Terminology
            1. medical billing
            2. medical services
          C. Numeric system
          D. Electronic/manual claims submission
          E. Medical education/research
        III. Support Documentation
            A. Evidence of utilization compliance
            B. Fraud and abuse issues
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