Certified Medical Coder (CMC)® is organized by Practice Management Institute (PMI) and will be held from Oct 22 - Dec 17, 2024.
Course Dates:
- 11/22/2024 (1:00 PM - 4:00 PM)
- 10/29/2024 (1:00 PM - 4:00 PM)
- 11/05/2024 (1:00 PM - 4:00 PM)
- 11/12/2024 (1:00 PM - 4:00 PM)
- 11/19/2024 (1:00 PM - 4:00 PM)
- 11/26/2024 (1:00 PM - 4:00 PM)
- 12/03/2024 (1:00 PM - 4:00 PM)
- 12/10/2024 (1:00 PM - 4:00 PM)
- 12/17/2024 (1:00 PM - 4:00 PM)
Course Description:
Improve your depth of knowledge and confidence when coding outpatient medical claims. This curriculum includes advanced-level training to prepare current and aspiring medical coders to pass the Certified Medical Coder (CMC)® certification exam.
The instructor will teach participants current coding guidelines for proper coding of outpatient medical claims. This training will help coding professionals communicate more confidently with providers, payers, patients, and business associates, and help to ensure proper claim submission and accurate payment for services rendered.
This comprehensive course prepares current and aspiring medical coders to pass the Certified Medical Coder (CMC)® certification exam, awarded to individuals who have demonstrated advanced competency in coding outpatient medical claims.
Course Summary:
This course includes the following resources:
- Certified Medical Coder course manual: tabbed sections, workbook exercises, and exam preparation handbook (shipped within 7 days of enrollment).
- Digital course recordings and materials: instructor-led recorded class sessions, pre-loaded in a password-protected PMI Portal Account, accessible online anytime. Login information is provided with purchase confirmation.
- A free supplemental course: Medical Terminology for Coders
- Coding exercises and a practice exam with answer key, testing tips, and course updates, when applicable.
- A proctored certification exam is included when scheduled within one year of course enrollment.
Benefits:
The Certified Medical Coder is a leading certification for medical coding professionals that work with outpatient claims. The training program prepares candidates with advanced knowledge of the reimbursement cycle from patient encounter to claim. These skills are imperative for proper claim submission and accurate payment for services rendered.
For employers, auditors, and business associates, CMC signifies an ongoing commitment to continued professional development. Those who continue to expand their professional knowledge will have an edge in today's ever-changing healthcare climate.
Benefits of becoming/hiring a Certified Medical Coder:
- A CMC protects the practice’s financial health by decreasing claim denials and improving billing accuracy and compliance with current guidelines
- A CMC does not rely on EHR presets, web searches or coding cheat sheets for coding assignments, which can cause repeat problems and trigger an audit
- A CMC communicates with confidence with physicians, third-party payers, patients, and business associates, which promotes advancement into chart auditing and supervisory roles.
Curriculum:
The CMC online preparatory course consists of 24 hours of high-level coding instruction led by a PMI-approved Instructor and a vast number of hand-on coding practice exercises.
Course Outline:
Medical Terminology
- Makeup and pronunciation of medical terms/words
- Key review of the human body systems, illustrations, and review of anatomic position and directional terms
- Root words, prefixes, suffixes, and supplemental terms
- Combined forms associated with medical conditions
- Definitions for common medical abbreviations
- Analysis of physician orders and narratives
ICD-10-CM Coding
- Instruction on the guidelines, organization, and groupings of ICD-10-CM
- Accurate translation of medical terminology for diseases into codes
- Designation of symbols, punctuations, abbreviations, keywords, unspecified codes, and other coding conventions
- ICD-10-CM subcategories, classifications, and extensions
- Outline of the complete coding and reimbursement equation
- Primary vs. secondary code selection
- Diagnostic coding guidelines such as laterality, sequelae, etc.
- Differentiate between signs/symptoms and ill-defined conditions and a diagnosis
- Correct rules and guidelines for assigning codes for neoplasms, adverse effects, pregnancy, childbirth, wounds, burns, injuries, HIV/AIDS, etc.
- Unsubstantiated and borderline diagnoses
- Application of ICD-10 coding conventions
- How to determine the accurate diagnostic code order
- Proper use of tables
- Problem set coding exercises for hands-on comprehension
Procedural Coding - CPT® and HCPCS
- Key elements of physician documentation that drive the assignment of CPT codes
- Accurate code assignment through the application of coding guidelines
- HCPCS/CPT coding process and steps
- Format and conventions used in the HCPCS/CPT coding manuals
- Global and unbundled procedures, and their impact on coding in CPT
- Identify unlisted procedures and how to bill them
- Modifier usage for appropriate reimbursement and efficient claims processing
- Evaluation and management service types
- E/M guidelines and levels of service
- Medical record documentation as related to the application of E/M coding
- Bundled services guidelines for surgery coding
- New versus established patient guidelines
- Surgery coding guidelines
- Hands-on exercises coding common procedures and services provided by physicians
Ancillary Services & Advanced Coding
- Maternity and delivery services
- Types of radiology services
- Technical and professional component distinction
- Billing supervision and interpretation (S&I) services
- Laboratory procedure types
- Billing for qualitative detection versus quantitative detection
- Billing laboratory panel tests
- Types of pathology services
- Coding services in the medicine section
- Billing for the administration of vaccines and immunizations
- Types of dialysis
- Guidelines used to assign ophthalmologic examinations
- Advanced coding problem set exercises