Ha401A Harrington 2014.Pdf
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HA 401A: Physician Practice Management Coding and Audits
Summer Session Hybrid Syllabus
COURSE START DATE: ONLINE DATES: ON CAMPUS DATES: COURSE END DATE:
July 7, 2014 July 7, 2014 - July 18, 2014; July 20, 2014 - August 29, 2014 July 19, 2014 August 29, 2014
COURSE DESCRIPTION This hybrid course is divided into eight study units (7 on-line and 1 on campus) and consists of an overview of Physician Practice Management coding and Recovery Audit Contractor audits. The course will examine the basic conventions of the CPT coding and documentation process for physician and various outpatient settings. The student will be able to describe, classify, apply, analyze, explain, and support choices made through the CPT/HCPSC code assignment process to various types of records as Evaluation and Management (E&M), anesthesia, surgery and radiology, pathology, and medicine procedures/records. The student will be able to describe the proper use of modifiers, the reimbursement process, use of databases, and evaluate coding quality through the Revenue Cycle up to and including examining the Recover Audit Contractor (RAC) audit and appeals process for various healthcare settings. All information on this course, including the official course description and any prerequisites, can be found in the GPS Catalog at http://catalog.sjcme.edu/.
COURSE PREREQUISITE AND/OR MINIMAL TECHNICAL SKILLS N/A
COURSE OBJECTIVES Upon completion of this course, you should be able to do the following: 1. Identify organizations that direct the content of the physician office health record and indicate which ones are voluntary and which ones are mandatory. 2. Define documentation guidelines appropriate for use in the physician office health record 3. Define the two levels of HCPCS and the types of codes contained in both levels. 4. Interpret health record documentation to identify codable diagnostic and procedure statements resulting from a physician service. 5. Apply knowledge of E/M services guidelines...
Summer Session Hybrid Syllabus
COURSE START DATE: ONLINE DATES: ON CAMPUS DATES: COURSE END DATE:
July 7, 2014 July 7, 2014 - July 18, 2014; July 20, 2014 - August 29, 2014 July 19, 2014 August 29, 2014
COURSE DESCRIPTION This hybrid course is divided into eight study units (7 on-line and 1 on campus) and consists of an overview of Physician Practice Management coding and Recovery Audit Contractor audits. The course will examine the basic conventions of the CPT coding and documentation process for physician and various outpatient settings. The student will be able to describe, classify, apply, analyze, explain, and support choices made through the CPT/HCPSC code assignment process to various types of records as Evaluation and Management (E&M), anesthesia, surgery and radiology, pathology, and medicine procedures/records. The student will be able to describe the proper use of modifiers, the reimbursement process, use of databases, and evaluate coding quality through the Revenue Cycle up to and including examining the Recover Audit Contractor (RAC) audit and appeals process for various healthcare settings. All information on this course, including the official course description and any prerequisites, can be found in the GPS Catalog at http://catalog.sjcme.edu/.
COURSE PREREQUISITE AND/OR MINIMAL TECHNICAL SKILLS N/A
COURSE OBJECTIVES Upon completion of this course, you should be able to do the following: 1. Identify organizations that direct the content of the physician office health record and indicate which ones are voluntary and which ones are mandatory. 2. Define documentation guidelines appropriate for use in the physician office health record 3. Define the two levels of HCPCS and the types of codes contained in both levels. 4. Interpret health record documentation to identify codable diagnostic and procedure statements resulting from a physician service. 5. Apply knowledge of E/M services guidelines...