MR 204 - Lab for MR 203

Credit Hours: 1

This is a practical advanced application of the guidelines and conventions used in CPT coding. Various reimbursement systems (DRG’s, APC’s, RBRVS, ASC’s) for a variety of patient encounters will be discussed as well as coding quality control systems.

Course Outcomes
Upon completion of this course, the student will be able to:

sequence diagnoses and procedures to ethically and accurately optimize reimbursement;
interpret principles of CPT coding to practice;
assign CPT codes using medical records from a variety of settings;
- hospital emergency room;
- ambulatory surgery; and
- hospital outpatient.
understand, apply CPT coding principals for the following sources:
- surgery;
- evaluation & management; and
- Mmedicine.
interpret Principals of HCPCS coding;
apply ICD-9-CM and CPT coding rules for a variety of healthcare encounters;
differentiate between reimbursement systems utilized in different health care settings;
identify the components of compliance plan;
understand standards and regulations which impact coding professionals;
delineate the steps in the coding audit process;
monitor and comply with current State and Federal coding Regulations;
develop job descriptions for coding personnel;
develop audit tools and complete ICD-9-CM & CPT coding audits;
utilize a variety of coding resources ; and
- list serves;
- journals;
- books; and
- web sites.
utilize computerized encoders, groupers & educational software to enhance coding skills.

Prerequisites: BI 150, BI 151, BI 152, BI 153, MR 105, MR 106, MR 250
Corequisites: MR 203
F (N)