HIT 214 - CPT and HCPCS Coding

A study of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCs) as it relates to ambulatory and physician coding. An overview of ambulatory and physician coding and data collection. Theories and practical applications of ambulatory and physician payment methodologies.

Prerequisite- Corequisite
Prerequisite: HIT 204 ICD-10 Coding

Credits: 3
Hours
2 Lecture Hours, 2 Laboratory Hours
Course Profile
Learning Outcomes of the Course:

Upon successful completion of this course the student will be able to:

Assign Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCs) codes from clinical documentation using official guidelines.
Evaluate code assignment for accurate reimbursement, including Ambulatory Payment Classifications (APCs).
Develop compliant physician queries to clarify documentation.
Manage outpatient coding denials and apply payer rules.
Ensure coding compliance and accuracy through audit and review.
Identify the content of the health record and documentation for various types and sizes of health organizations, including virtual environments.

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