CPT Coding Program

Program Objectives

Applying codes from the Current Procedural Terminology (CPT) coding system to the hospital setting is a challenging and complex process. Because the coding system was developed by physicians for physician use, interpreting the guidelines for application in the hospital can be very confusing. Revenue Management Education (RME), a division of IRM, offers comprehensive CPT Coding Education, an in-depth and easy-to-understand program geared toward the hospital coder.

Complete with guidelines set forth by the American Medical Association (AMA) and other regulatory agencies such as the Centers for Medicare and Medicaid Services (CMS), this program is designed for coders at any level who are involved in both the hard-coding and soft-coding process.

The program covers all aspects of surgical CPT coding and interventional radiology. Each course includes quizzes, key terminology, and common acronyms to maximize the learning experience.

Program Benefits

• Describe common procedures reported with CPT codes
• Describe uses for Level II HCPCS codes
• Describe the HCPCS coding system and when to use Level I versus Level II codes
• Explain when to use CPT and HCPCS modifiers and which are appropriate in the hospital setting
• Discuss the process of looking up codes in the CPT codebook
• Describe basic anatomy for the major body systems addressed in CPT

Who Will Benefit

• Prospective coders
• Coders responsible for CPT coding
• Chargemaster staff
• Other hospital staff members who would benefit from the understanding of coding CPT procedures

Course Overview

• CC-3001 Introduction to CPT/HCPCS Coding
• CC-3002 Integumentary System
• CC-3003 Musculoskeletal System and Connective Tissues
• CC-3004 Hemic and Lymphatic System
• CC-3005 Ocular System
• CC-3006 Auditory System
• CC-3007 Respiratory System
• CC-3008 Digestive System
• CC-3009 Cardiovascular System
  • a) Invasive cardiac procedures (from the Surgical section of CPT)
  • b) Noninvasive cardiac procedures (from the Medical section of CPT)
• CC-3010 Interventional Radiology
  • a) Surgical component (from Surgical section of CPT)
  • b) Radiology component (from Radiology section of CPT)
• CC-3011 Urinary System
• CC-3012 Male and Female Reproductive System
• CC-3013 Pain Management and Nervous System
• CC-3014 Injections and Infusions
• CC-3017 Nuclear Medicine

ICD-9-CM Coding Program

Program Objectives

ICD-10-CM is on the horizon, and both a greater knowledge of clinical documentation and a greater proficiency for accurate reimbursement will be required of coders. ICD-10 is the anticipated clinical modification of the World Health Organization's International Classification of Diseases, 10th Revision. ICD-10 far exceeds its predecessors in the number of concepts and codes provided. The disease classification has been expanded to include health-related conditions and to provide greater specificity.

RME's ICD-9-CM Coding Program is designed to fill the coder education gap in preparation for ICD-10 implementation, as well as to provide education that is currently applicable to the use of ICD-9-CM. Our extensive education combines anatomy and physiology, medical terminology, and disease process information with coding guidelines developed by the Cooperating Parties and official references such as Coding Clinic. Our courses also include the effects of code assignment and clinical documentation on MS-DRG reimbursement. No other education on the market today serves as comprehensively to prepare trainees for ICD-10 and enhance their ICD-9-CM coding skills.

Program Benefits

• List the three volumes of ICD-9-CM
• List the agencies that make up the Cooperating Parties and describe their purpose
• Describe the Official Guidelines for Coding and Reporting
• Describe system-related anatomy
• Discuss various disease processes
• List DRGs on the Office of Inspector General's (OIG) list of target DRGs and describe common coding errors associated with each
• Describe to medical staff documentation requirements for specific conditions

Who Will Benefit

• Prospective coders
• Coders responsible for inpatient or outpatient ICD-9-CM coding
• Other hospital staff members who would benefit from the understanding of coding of ICD-9-CM procedures

Course Overview

• IC-3001 Introduction and Tools
• IC-3002 Infectious and Parasitic Diseases
• IC-3003 Neoplasms
• IC-3004 Endocrine, Nutritional and Metabolic Immunity
• IC-3005 Blood and Blood-Forming Organs
• IC-3006 Mental Disorders
• IC-3007 Nervous System and Sense Organs
• IC-3008 Circulatory System
• IC-3009 Respiratory System
• IC-3010 Digestive System
• IC-3011 Genitourinary System
• IC-3012 Complications of Pregnancy, Childbirth, and Puerperium
• IC-3013 Skin and Subcutaneous Tissue
• IC-3014 Musculoskeletal System and Connective Tissue
• IC-3015 Congenital Anomalies
• IC-3016 Conditions Originating in the Perinatal Period
• IC-3017 Symptoms, Signs, and Ill-Defined Conditions
• IC-3018 Injury and Poisoning and E Codes
• IC-3019 V Codes