MEDA 271 - Coding for the Physician's Office

Institution:

Kapiolani Community College

Subject:

Description:

5 hours lecture per week Prerequisite(s): Completion of Certificate of Achievement in Medical Assisting, or consent of program director. Comment: Letter grade only. MEDA 271 may not be audited. MEDA 271 may not be taken credit/no credit. MEDA 271 provides detailed instruction in the application of an internationally accepted set of codes for the specific description of any medical procedure to treat a condition or injury to substantiate claims for reimbursement from third-party payers. Upon satisfactory completion of MEDA 271, the student should be able to: correctly use Volumes I and II of the ICD-9-CM text discuss the format of the ICD-10 text and reasons for the new format. discuss the CPT-4 format, including section numbers and sequences, terminology and format. correctly use the CPT-4 index. discuss the three levels of HCPCS coding conventions and search for various HCPCS codes. use coding conventions for identifying and selecting the appropriate evaluation and management service. define key components and determine patient status. implement correctly the variety of evaluation and management documentation guidelines. schedule and perform a chart audit. discuss frequency, prospective versus retrospective, and sampling. describe the global surgical package concept and coding conventions. discuss starred, separate, and add-on procedure codes describe in detail CPT modifiers. apply a set of coding rules for surgery across all anatomical subsections of surgery codes. discuss procedures and techniques specific to the integument. describe procedure and coding guidelines for procedures and techniques specific to the musculoskeletal system. discuss procedure and coding explanations pertaining to the respiratory system. discuss coding challenges presented by cardiothoracic surgery of the heart, coronary arteries, and great vessels. correctly apply coding conventions unique to pacemaker and auto-defibrillator placement. describe and apply coding conventions applied to vascular surgery. discuss coding conventions applied to diagnostic tests, procedures, and endoscopies pertaining to the digestive system. 9 discuss coding for procedures of the kidney, ureter, urinary bladder, and the male genitalia. describe coding conventions applied to gynecological procedures and obstetrical care. discuss coding procedures and techniques of the skull, meninges and the brain, spine and spinal cord, and the extracranial nerves, peripheral nerves and the autonomic nervous system. discuss procedures and coding explanations pertaining to the eye and auditory system. discuss the American Society of Anesthesiologists (ASA) relative values, anesthesia guidelines, modifiers, code organization and crosswalk. discuss radiological procedures and coding guidelines. discuss procedure and coding issues related to pathology and lab tests. discuss coding guidelines for consultations, emergency department services, critical care, preventive medicine, and home care. identify and select appropriate immunizations, therapeutic and diagnostic infusions, psychiatry, dialysis, gastroenterology codes, cardiovascular codes, physical medicine, and other special services.

Credits:

5.00

Credit Hours:

Prerequisites:

Corequisites:

Exclusions:

Level:

Instructional Type:

Lecture

Notes:

Additional Information:

Historical Version(s):

Institution Website:

kapiolani.hawaii.edu/page/home

Phone Number:

(808) 734-9000

Regional Accreditation:

Western Association of Schools and Colleges

Calendar System:

Semester

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