Coding Fundamentals for Non-Coders – Outpatient

Overview

Essential Guide to Outpatient Codes for Hospital Administrative, Financial, and Clinical Staff without Coding Backgrounds!

No coding experience? No problem. This valuable resource is designed to provide non-coding staff with the necessary information to accurately assign outpatient codes, adhere to guidelines, and understand the fundamentals of reimbursement. This comprehensive eLearning library covers the essentials of medical coding, including the use of CPT and HCPCS Level II codes to report outpatient procedures. It also delves into ICD-10-CM code structure and guideline conventions, as well as chapter-specific guidelines for both CPT and ICD-10-CM codes. In addition, it covers the National Correct Coding Initiative and how it is used by Medicare, as well as various reimbursement methodologies for outpatient settings, including hospital outpatient and physician services. Lastly, it provides information on how risk adjustment can impact payments.

Coding Fundamentals for Non-Coders – Outpatient

Course List

Overview of CPT Coding explains the basics of CPT codes and how they are used to report procedures in outpatient settings.

Chapter-Specific CPT Guidance (part 1-4) reviews chapter-specific CPT guidelines, including how to report evaluation and management (E/M) codes for visits, as well as procedures by body system.

Healthcare Common Procedure Coding System (HCPCS) – Level II Overview explains how HCPCS Level II codes are used to report certain procedures and services in an outpatient setting and how they differ from CPT codes.

ICD-10-CM Overview and Guideline Conventions course provides an overview of ICD-10-CM code structure and guideline conventions specific to the outpatient setting.

Chapter-Specific ICD-10-CM Guidelines (part 1-3) reviews chapter-specific ICD-10-CM guidelines and explains when these diagnosis codes should be reported.

National Correct Coding Initiative Overview explains how the National Correct Coding Initiative is used by Medicare and what facilities need to do to prevent edits that can impact reimbursement.

Reimbursement Methodologies: OPPS, RBRVS, and Risk Adjustment reviews reimbursement methodologies for outpatient settings, including hospital outpatient and physician services, with additional information on how risk adjustment can impact payments.

Coding Fundamentals for Non-Coders – Outpatient

Learning Objectives

At the end of this course, participants will be able to:

• Describe the components of ICD-10-CM and CPT codes
• Explain how ICD-10-CM and CPT coding guidelines determine code choice
• Define outpatient and physician services reimbursement methodologies used by Medicare

Coding Fundamentals for Non-Coders – Outpatient

Who Should Listen?

• Clinical staff
• Administrative staff
• HIM staff
• Finance

Coding Fundamentals for Non-Coders – Outpatient

Continuing Education

ACDIS
This program has been approved for 6.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist-Outpatient (CCDS-O) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

Coding Fundamentals for Non-Coders – Outpatient

Terms

You will have access to Coding Fundamentals for Non-Coders - Outpatient for 1 year from the purchase/order date.