Introduction To CPT Coding (CR01)

Current Procedural Terminology, CPT, is the coding basis for most medical and surgical services and procedures. Participants will learn how CPT is organized, how to properly determine a code from a brief description of the service and how to use the main sections of the book. Participants will learn key definitions of common services and situations. This program is designed for staff new to the field as well as physicians who need a basic primer in CPT coding.

Coding of Evaluation & Management Services (CR02)

E&M services cover most patient encounters for office visits, consultations, hospital admissions, visits and discharges as well ER services, preventive health services and critical care. Participants will learn how to properly select an E&M code including documentation of required key elements of the code. Proper use of modifiers for E&M codes will also be presented. This program is designed for all staff including physicians.

ICD-9 Diagnosis Coding (CR03)

Medical necessity is required for virtually every claim to a third party payer and ICD-9 is the coding system that documents the medical necessity. Participants will learn how to look up codes for diagnoses, signs & symptoms, ill-defined conditions and health status codes (V- Codes). Participants will learn the proper sequencing of codes, the specificity of each code and coding conventions used in volumes 1 and 2 of ICD-9. This program is designed for all staff and physicians.

Appealing Third-Party Claims (CR04)

In today's reimbursement environment many claims for services are not accepted on the first request for payment. Many payers manage claims by requiring detailed information including copies of notes, discharge summaries and authorizations. Getting full payment and maximizing practice revenue will be dependent on the ability of the practice to appeal adverse claims decisions. Participants will find out how to organize the appeals, what information will really be needed and communications to maximize the results. This program is designed for managers and billing staff.

Advanced CPT Coding (CR05)

Current Procedural Terminology, CPT, is the coding basis for most medical and surgical services and procedures. Participants will learn how CPT is organized, how to properly determine a code from a brief description of the service and how to use the main sections of the book. Participants will learn key definitions of common services and situations. This program is an advanced course on CPT designed for surgeons and staff and there will be a particular emphasis on the use of case studies to fully demonstrate a process for defining and coding difficult CPT cases.

E & M Coding ... From An Auditor's Perspecitve (CM07)

Evaluation and Management Services (E&M Coding) is a critical part of the CPT, the coding basis for most medical and surgical services and procedures. Participants will learn how to look at the E&M Coding process from the viewpoint of an Auditor, who’s job it is to review medical records and determine if the proper level of service has been billed for a specific patient encounter.  By looking at the coding process from this new vantage point,  participants will better understand how vital it is to have clear and precise documentation of the medical record and to be able to fully support the level of coding.   This program is designed for surgeons and other staff members who have a need to know and understand the basics of Evaluation & Management Services, which is a key element of the CPT.