Maricopa Community Colleges  HIM189   20066-20085 
Official Course Description: MCCCD Approval: 12/13/05
HIM189 20066-20085 LAB 1 Credit(s) 5 Period(s)
Professional Practice in Physician-Based Coding
Practical application of coding guidelines for the physician-based setting. Use of the International Classification of Diseases and Current Procedural Terminology systems to code ambulatory patient diagnoses and treatment.
Prerequisites: (HCC204, HIM185, and HIM214), and permission of Program Director. Corequisites: HIM187 or permission of Program Director.
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MCCCD Official Course Competencies:
 
HIM189   20066-20085 Professional Practice in Physician-Based Coding
1. Follow professional practice guidelines as outlined by the Medical Coding: Physician-Based Program. (I)
2. Complete professional practice documentation including practice summaries and evaluations. (I)
3. Code ambulatory patient diagnoses using the International Classification of Diseases (ICD) guidelines. (II)
4. Code physician-based services using Current Procedural Terminology (CPT) guidelines. (II)
5. Attach modifiers to ambulatory codes when applicable. (II)
6. Attach evaluation and management codes when applicable. (II)
7. Attach Healthcare Common Procedure Coding System (HCPCS) codes when appropriate. (II)
8. Describe the flow of patient documentation within an ambulatory setting. (III)
9. Describe the use of coded information from initial patient visit through the billing process. (III)
10. Describe the techniques used to ensure coding quality as part of a compliance program. (IV)
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MCCCD Official Course Outline:
 
HIM189   20066-20085 Professional Practice in Physician-Based Coding
    I. Professional Practice A. Guidelines B. Summaries C. Evaluations
      II. Coding Practice A. ICD codes B. CPT codes C. Modifiers D. Evaluation and management codes E. HCPCS codes
        III. Data Development
            A. Patient record
            B. Coded information
          IV. Coding Quality Compliance
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