AHEA 219 - Coding II

3 Credits: (3 lecture)

Course Description
This course focuses on advanced principles of International Classification of Diseases 10^th Revision (ICD-10-CM), Current Procedural Terminology (CPT), and an introduction to Healthcare Common Procedure Coding System (HCPCS) coding. The course will cover coding guidelines in areas of medical necessity, reimbursement, and claims submission.

Prerequisite AHEA 218.

American Medical Association. CPT 2019 Professional. Chicago: American Medical Association, 2018. Print.

Buck, Carol. 2019 HCPCS Level II Professional Edition. St. Louis: Elsevier, 2018. Print.

2019 ICD-10-CM Expert. St. Louis: AAPC, 2018. Print.

Objectives
The student will be able to:

A. Associate diagnoses with procedure coding systems.

B. Recognize the importance of modifiers in CPT coding.

C. Apply the basic steps of coding processing using the HCPCS system.

D. Apply the principle of modifiers in the HCPCS Level I, II, and III coding systems.

E. Distinguish the differences among various insurance carriers.

F. Compare revenue codes and diagnosis related groups (DRG).

G.Identify DRG for controlling costs of inpatient and outpatient care.

Content
A. Advanced ICD-10-CM and CPT coding steps

B. HCPCS system

C. Introduction to insurance

D. Utilize the ICD-10-CM and CPT codes in order to prepare for reimbursement

E. Revenue codes

F. Diagnosis related groups

Student Evaluation
Final grade will be determined from a series of classroom activities, case studies, assignments, quizzes, and a minimum of four examinations.

Grading Scale

90-100%         A

80-89%           B

70-79%           C

60-69%           D

<59%              F